Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.97 / $14,614.14 / $36,735.79	Facility		$3,019.97	$14,614.14	$36,735.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,199.23 / $3,125.92 / $3,519.47	Professional		$2,199.23	$3,125.92	$3,519.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,796.09 / $2,801.00 / $3,861.59	Facility		$1,796.09	$2,801.00	$3,861.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,943.81 / $2,637.12 / $2,753.70	Facility		$1,943.81	$2,637.12	$2,753.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,796.09 / $3,334.11 / $9,999.15	Facility		$1,796.09	$3,334.11	$9,999.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.19 / $519.19 / $519.19	Facility	80	$519.19	$519.19	$519.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $38,534.69	Facility		$13,624.30	$17,810.43	$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