Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,907.64 / $7,920.26 / $67,589.23	Facility		$2,907.64	$7,920.26	$67,589.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,122.26 / $3,014.98 / $3,394.56	Professional		$2,122.26	$3,014.98	$3,394.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,730.68 / $2,699.00 / $3,720.96	Facility		$1,730.68	$2,699.00	$3,720.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,876.95 / $2,536.16 / $2,653.87	Facility		$1,876.95	$2,536.16	$2,653.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,730.68 / $2,950.91 / $3,599.66	Facility		$1,730.68	$2,950.91	$3,599.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $500.30 / $500.30 / $500.30	Facility	80	$500.30	$500.30	$500.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $425.26 / $425.26 / $425.26	Facility	AS	$425.26	$425.26	$425.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,839.06 / $6,839.06 / $6,839.06	Facility		$6,839.06	$6,839.06	$6,839.06
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