Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.86 / $3,205.25 / $7,920.26	Facility		$2,621.86	$3,205.25	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.94 / $2,975.22 / $3,349.80	Professional		$2,090.94	$2,975.22	$3,349.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,703.29 / $2,656.28 / $3,662.07	Facility		$1,703.29	$2,656.28	$3,662.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,841.10 / $2,477.86 / $2,615.01	Facility		$1,841.10	$2,477.86	$2,615.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,703.29 / $2,869.84 / $3,542.27	Facility		$1,703.29	$2,869.84	$3,542.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $492.34 / $492.34 / $492.34	Facility	80	$492.34	$492.34	$492.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,711.29 / $6,711.29 / $6,711.29	Facility		$6,711.29	$6,711.29	$6,711.29
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,066.94 / $10,066.94 / $10,066.94	Facility	50	$10,066.94	$10,066.94	$10,066.94
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