Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.50 / $2,747.00 / $7,920.26	Facility		$1,886.50	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.66 / $1,959.59 / $2,206.30	Professional		$1,375.66	$1,959.59	$2,206.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.51 / $2,003.90 / $2,871.35	Facility		$1,335.51	$2,003.90	$2,871.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.64 / $1,675.80 / $1,845.85	Facility		$1,304.64	$1,675.80	$1,845.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.51 / $2,082.73 / $2,532.44	Facility		$1,335.51	$2,082.73	$2,532.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $355.12 / $355.12 / $355.12	Facility	80	$355.12	$355.12	$355.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,823.18 / $4,823.18 / $4,823.18	Facility		$4,823.18	$4,823.18	$4,823.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00