Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.46 / $2,747.00 / $7,920.26	Facility		$2,090.46	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,680.16 / $2,394.79 / $2,696.30	Professional		$1,680.16	$2,394.79	$2,696.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,359.19 / $2,119.66 / $2,922.26	Facility		$1,359.19	$2,119.66	$2,922.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,465.13 / $1,968.28 / $2,104.46	Facility		$1,465.13	$1,968.28	$2,104.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,359.19 / $2,265.65 / $2,811.05	Facility		$1,359.19	$2,265.65	$2,811.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $397.39 / $397.39 / $397.39	Facility	80	$397.39	$397.39	$397.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,346.65 / $5,346.65 / $5,346.65	Facility		$5,346.65	$5,346.65	$5,346.65
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