Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.25 / $10,347.48 / $13,746.00	Facility		$1,568.25	$10,347.48	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.81 / $1,746.22 / $1,987.84	Professional		$1,231.81	$1,746.22	$1,987.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.93 / $1,421.67 / $2,246.60	Facility		$1,044.93	$1,421.67	$2,246.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $998.13 / $1,427.61 / $1,603.45	Facility		$998.13	$1,427.61	$1,603.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.93 / $1,907.93 / $8,061.00	Facility		$1,044.93	$1,907.93	$8,061.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $305.27 / $305.27 / $305.27	Facility	80	$305.27	$305.27	$305.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $259.48 / $259.48 / $259.48	Facility	AS	$259.48	$259.48	$259.48
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