Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.32 / $7,920.26 / $13,320.00	Facility		$1,444.32	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.39 / $1,651.52 / $1,859.44	Professional		$1,157.39	$1,651.52	$1,859.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.70 / $1,530.48 / $2,196.66	Facility		$1,021.70	$1,530.48	$2,196.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,008.73 / $1,368.95 / $1,444.52	Facility		$1,008.73	$1,368.95	$1,444.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,021.70 / $1,735.53 / $5,626.00	Facility		$1,021.70	$1,735.53	$5,626.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.22 / $271.22 / $271.22	Facility	80	$271.22	$271.22	$271.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
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