Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,976.01 / $7,920.26	Facility		$2,747.00	$3,976.01	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,577.08 / $3,630.99 / $4,133.39	Professional		$2,577.08	$3,630.99	$4,133.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.04 / $3,385.14 / $4,932.52	Facility		$2,186.04	$3,385.14	$4,932.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,441.40 / $3,139.36 / $3,401.36	Facility		$2,441.40	$3,139.36	$3,401.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,186.04 / $3,643.04 / $4,699.99	Facility		$2,186.04	$3,643.04	$4,699.99
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,510.38 / $2,510.38 / $2,510.38	Facility	62	$2,510.38	$2,510.38	$2,510.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $642.66 / $642.66 / $642.66	Facility	80	$642.66	$642.66	$642.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $546.26 / $546.26 / $546.26	Facility	AS	$546.26	$546.26	$546.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,035.95 / $9,035.95 / $9,035.95	Facility		$9,035.95	$9,035.95	$9,035.95
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