Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,482.17 / $13,690.00 / $25,821.76	Facility		$2,482.17	$13,690.00	$25,821.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,972.94 / $2,802.35 / $3,155.16	Professional		$1,972.94	$2,802.35	$3,155.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,610.06 / $2,510.89 / $3,461.63	Facility		$1,610.06	$2,510.89	$3,461.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,745.65 / $2,362.59 / $2,466.27	Facility		$1,745.65	$2,362.59	$2,466.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,610.06 / $2,743.99 / $3,461.63	Facility		$1,610.06	$2,743.99	$3,461.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $465.61 / $465.61 / $465.61	Facility	80	$465.61	$465.61	$465.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $395.77 / $395.77 / $395.77	Facility	AS	$395.77	$395.77	$395.77
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