Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.82 / $2,747.80 / $7,920.26	Facility		$2,259.82	$2,747.80	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,781.22 / $2,512.42 / $2,860.06	Professional		$1,781.22	$2,512.42	$2,860.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.52 / $2,292.17 / $3,366.41	Facility		$1,497.52	$2,292.17	$3,366.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,669.10 / $2,169.85 / $2,335.12	Facility		$1,669.10	$2,169.85	$2,335.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,497.52 / $2,495.62 / $3,219.67	Facility		$1,497.52	$2,495.62	$3,219.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $441.20 / $441.20 / $441.20	Facility	80	$441.20	$441.20	$441.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $375.02 / $375.02 / $375.02	Facility	AS	$375.02	$375.02	$375.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,175.38 / $6,175.38 / $6,175.38	Facility		$6,175.38	$6,175.38	$6,175.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00