Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,975.54 / $13,392.00 / $20,400.00	Facility		$2,975.54	$13,392.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,372.79 / $3,375.97 / $3,801.01	Professional		$2,372.79	$3,375.97	$3,801.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,932.94 / $3,014.42 / $4,155.82	Facility		$1,932.94	$3,014.42	$4,155.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,082.87 / $2,802.09 / $2,966.09	Facility		$2,082.87	$2,802.09	$2,966.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,932.94 / $3,272.75 / $4,155.82	Facility		$1,932.94	$3,272.75	$4,155.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $558.76 / $558.76 / $558.76	Facility	80	$558.76	$558.76	$558.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $474.95 / $474.95 / $474.95	Facility	AS	$474.95	$474.95	$474.95
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