Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,176.73 / $9,972.00 / $20,400.00	Facility		$3,176.73	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,574.76 / $3,684.30 / $4,148.14	Professional		$2,574.76	$3,684.30	$4,148.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.13 / $3,240.52 / $4,450.78	Facility		$2,070.13	$3,240.52	$4,450.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,212.13 / $2,979.20 / $3,262.90	Facility		$2,212.13	$2,979.20	$3,262.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,070.13 / $3,479.28 / $4,370.68	Facility		$2,070.13	$3,479.28	$4,370.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $616.58 / $616.58 / $616.58	Facility	80	$616.58	$616.58	$616.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,262.23 / $8,262.23 / $8,262.23	Facility		$8,262.23	$8,262.23	$8,262.23
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