Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,353.98 / $2,907.66 / $7,920.26	Facility		$2,353.98	$2,907.66	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,900.86 / $2,708.54 / $3,083.32	Professional		$1,900.86	$2,708.54	$3,083.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.58 / $2,015.79 / $3,385.37	Facility		$1,174.58	$2,015.79	$3,385.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,129.88 / $2,218.84 / $2,425.40	Facility		$1,129.88	$2,218.84	$2,425.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.58 / $2,455.57 / $3,289.58	Facility		$1,174.58	$2,455.57	$3,289.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $459.32 / $459.32 / $459.32	Facility	80	$459.32	$459.32	$459.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $390.42 / $390.42 / $390.42	Facility	AS	$390.42	$390.42	$390.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,164.72 / $6,164.72 / $6,164.72	Facility		$6,164.72	$6,164.72	$6,164.72
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