Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.81 / $10,271.50 / $23,856.49	Facility		$1,068.81	$10,271.50	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.26 / $1,180.10 / $1,328.69	Professional		$824.26	$1,180.10	$1,328.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $725.27 / $1,104.90 / $1,559.33	Facility		$725.27	$1,104.90	$1,559.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.40 / $976.86 / $1,040.51	Facility		$706.40	$976.86	$1,040.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $725.27 / $1,223.15 / $9,999.15	Facility		$725.27	$1,223.15	$9,999.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $195.80 / $195.80 / $195.80	Facility	80	$195.80	$195.80	$195.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $166.43 / $166.43 / $166.43	Facility	AS	$166.43	$166.43	$166.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
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