Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.31 / $9,972.00 / $20,400.00	Facility		$2,006.31	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,463.06 / $2,081.83 / $2,343.92	Professional		$1,463.06	$2,081.83	$2,343.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.97 / $1,858.88 / $2,562.73	Facility		$1,191.97	$1,858.88	$2,562.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,286.34 / $1,731.17 / $1,828.43	Facility		$1,286.34	$1,731.17	$1,828.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.97 / $2,020.40 / $2,562.73	Facility		$1,191.97	$2,020.40	$2,562.73
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 $13,624.30 / $17,810.43 / $38,534.69	Facility		$13,624.30	$17,810.43	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00