Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,646.47 / $3,246.97 / $7,920.26	Facility		$2,646.47	$3,246.97	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,117.30 / $3,014.19 / $3,393.68	Professional		$2,117.30	$3,014.19	$3,393.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,719.88 / $2,682.15 / $3,697.74	Facility		$1,719.88	$2,682.15	$3,697.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,852.73 / $2,481.14 / $2,648.51	Facility		$1,852.73	$2,481.14	$2,648.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,719.88 / $2,905.84 / $3,548.75	Facility		$1,719.88	$2,905.84	$3,548.75
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $497.86 / $497.86 / $497.86	Facility	80	$497.86	$497.86	$497.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,755.65 / $6,755.65 / $6,755.65	Facility		$6,755.65	$6,755.65	$6,755.65
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