Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.12 / $11,377.08 / $20,400.00	Facility		$1,653.12	$11,377.08	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.18 / $1,887.00 / $2,124.57	Professional		$1,322.18	$1,887.00	$2,124.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.20 / $1,903.71 / $2,315.98	Facility		$1,077.20	$1,903.71	$2,315.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,151.66 / $1,592.59 / $1,728.85	Facility		$1,151.66	$1,592.59	$1,728.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.20 / $1,981.21 / $2,315.98	Facility		$1,077.20	$1,981.21	$2,315.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $310.27 / $310.27 / $310.27	Facility	80	$310.27	$310.27	$310.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00