Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.72 / $8,952.00 / $13,746.00	Facility		$1,291.72	$8,952.00	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.77 / $1,442.30 / $1,641.87	Professional		$1,017.77	$1,442.30	$1,641.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $860.26 / $1,280.94 / $1,864.16	Facility		$860.26	$1,280.94	$1,864.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $947.68 / $1,239.83 / $1,332.80	Facility		$947.68	$1,239.83	$1,332.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.26 / $1,635.39 / $8,061.00	Facility		$860.26	$1,635.39	$8,061.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $251.82 / $251.82 / $251.82	Facility	80	$251.82	$251.82	$251.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $214.05 / $214.05 / $214.05	Facility	AS	$214.05	$214.05	$214.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00