Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.77 / $7,920.26 / $18,360.00	Facility		$1,811.77	$7,920.26	$18,360.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.02 / $2,040.88 / $2,297.82	Professional		$1,430.02	$2,040.88	$2,297.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.02 / $1,941.55 / $2,756.34	Facility		$1,282.02	$1,941.55	$2,756.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,316.39 / $1,742.03 / $1,863.48	Facility		$1,316.39	$1,742.03	$1,863.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,282.02 / $2,235.19 / $9,999.15	Facility		$1,282.02	$2,235.19	$9,999.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $344.07 / $344.07 / $344.07	Facility	80	$344.07	$344.07	$344.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $292.45 / $292.45 / $292.45	Facility	AS	$292.45	$292.45	$292.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
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