Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.56 / $5,116.62 / $19,857.62	Facility		$1,460.56	$5,116.62	$19,857.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.90 / $1,699.04 / $1,912.95	Professional		$1,191.90	$1,699.04	$1,912.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.14 / $1,514.49 / $2,087.94	Facility		$971.14	$1,514.49	$2,087.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,050.88 / $1,412.18 / $1,488.74	Facility		$1,050.88	$1,412.18	$1,488.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.14 / $1,635.72 / $2,087.94	Facility		$971.14	$1,635.72	$2,087.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.47 / $280.47 / $280.47	Facility	80	$280.47	$280.47	$280.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.40 / $238.40 / $238.40	Facility	AS	$238.40	$238.40	$238.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
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