Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.46 / $5,649.00 / $15,341.00	Facility		$1,652.46	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.68 / $1,723.12 / $1,940.06	Professional		$1,207.68	$1,723.12	$1,940.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.05 / $1,647.72 / $2,111.41	Facility		$982.05	$1,647.72	$2,111.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,053.30 / $1,447.81 / $1,543.60	Facility		$1,053.30	$1,447.81	$1,543.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $982.05 / $1,835.15 / $3,274.00	Facility		$982.05	$1,835.15	$3,274.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.04 / $283.04 / $283.04	Facility	80	$283.04	$283.04	$283.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $240.59 / $240.59 / $240.59	Facility	AS	$240.59	$240.59	$240.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,624.37 / $36,627.25 / $48,054.93	Facility		$23,624.37	$36,627.25	$48,054.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $49,245.00	Facility		$3,340.00	$26,100.00	$49,245.00