Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.48 / $7,920.26 / $20,400.00	Facility		$1,773.48	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.57 / $1,846.95 / $2,079.48	Professional		$1,295.57	$1,846.95	$2,079.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.33 / $1,714.63 / $2,460.31	Facility		$1,144.33	$1,714.63	$2,460.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,131.31 / $1,536.31 / $1,616.04	Facility		$1,131.31	$1,536.31	$1,616.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,144.33 / $1,945.52 / $5,626.00	Facility		$1,144.33	$1,945.52	$5,626.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $303.85 / $303.85 / $303.85	Facility	80	$303.85	$303.85	$303.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.27 / $258.27 / $258.27	Facility	AS	$258.27	$258.27	$258.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49,533.96 / $65,887.53 / $75,513.42	Facility		$49,533.96	$65,887.53	$75,513.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $35,674.00 / $75,598.64	Facility		$3,960.00	$35,674.00	$75,598.64