Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.80 / $7,920.26 / $42,410.78	Facility		$568.80	$7,920.26	$42,410.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.92 / $583.75 / $657.24	Professional		$411.92	$583.75	$657.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.31 / $541.21 / $785.42	Facility		$365.31	$541.21	$785.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.48 / $495.20 / $530.64	Facility		$363.48	$495.20	$530.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.31 / $579.89 / $724.74	Facility		$365.31	$579.89	$724.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $101.37 / $101.37 / $101.37	Facility	80	$101.37	$101.37	$101.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.17 / $86.17 / $86.17	Facility	AS	$86.17	$86.17	$86.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,377.03 / $1,377.03 / $1,377.03	Facility		$1,377.03	$1,377.03	$1,377.03
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