Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.41 / $2,942.62 / $7,920.26	Facility		$2,387.41	$2,942.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.85 / $2,738.10 / $3,082.83	Professional		$1,917.85	$2,738.10	$3,082.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.63 / $2,424.44 / $3,342.45	Facility		$1,554.63	$2,424.44	$3,342.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,641.84 / $2,260.48 / $2,422.71	Facility		$1,641.84	$2,260.48	$2,422.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,554.63 / $2,590.79 / $3,242.38	Facility		$1,554.63	$2,590.79	$3,242.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $455.59 / $455.59 / $455.59	Facility	80	$455.59	$455.59	$455.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $387.25 / $387.25 / $387.25	Facility	AS	$387.25	$387.25	$387.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,237.48 / $6,237.48 / $6,237.48	Facility		$6,237.48	$6,237.48	$6,237.48
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,356.21 / $9,356.21 / $9,356.21	Facility	50	$9,356.21	$9,356.21	$9,356.21
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