Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.25 / $7,920.26 / $34,355.31	Facility		$2,714.25	$7,920.26	$34,355.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.73 / $2,759.39 / $3,141.20	Professional		$1,950.73	$2,759.39	$3,141.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,651.25 / $2,502.63 / $3,656.12	Facility		$1,651.25	$2,502.63	$3,656.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,798.95 / $2,376.34 / $2,530.59	Facility		$1,798.95	$2,376.34	$2,530.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,651.25 / $2,751.81 / $3,550.19	Facility		$1,651.25	$2,751.81	$3,550.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $486.17 / $486.17 / $486.17	Facility	80	$486.17	$486.17	$486.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $413.24 / $413.24 / $413.24	Facility	AS	$413.24	$413.24	$413.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,672.23 / $6,672.23 / $6,672.23	Facility		$6,672.23	$6,672.23	$6,672.23
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