Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.96 / $2,747.00 / $7,920.26	Facility		$2,093.96	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,643.68 / $2,321.58 / $2,642.81	Professional		$1,643.68	$2,321.58	$2,642.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.04 / $2,134.17 / $3,123.90	Facility		$1,390.04	$2,134.17	$3,123.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,544.59 / $2,002.31 / $2,160.75	Facility		$1,544.59	$2,002.31	$2,160.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.04 / $2,316.50 / $2,988.59	Facility		$1,390.04	$2,316.50	$2,988.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $408.44 / $408.44 / $408.44	Facility	80	$408.44	$408.44	$408.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $347.17 / $347.17 / $347.17	Facility	AS	$347.17	$347.17	$347.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,712.22 / $5,712.22 / $5,712.22	Facility		$5,712.22	$5,712.22	$5,712.22
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