Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,695.77 / $7,920.26	Facility		$2,747.00	$4,695.77	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,064.54 / $4,352.29 / $4,900.24	Professional		$3,064.54	$4,352.29	$4,900.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,500.98 / $3,900.29 / $5,377.13	Facility		$2,500.98	$3,900.29	$5,377.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,708.36 / $3,636.56 / $3,831.06	Facility		$2,708.36	$3,636.56	$3,831.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,500.98 / $4,241.00 / $5,185.21	Facility		$2,500.98	$4,241.00	$5,185.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.73 / $723.73 / $723.73	Facility	80	$723.73	$723.73	$723.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,875.28 / $9,875.28 / $9,875.28	Facility		$9,875.28	$9,875.28	$9,875.28
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