Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.69 / $2,863.32 / $7,920.26	Facility		$2,337.69	$2,863.32	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,868.13 / $2,659.65 / $2,994.50	Professional		$1,868.13	$2,659.65	$2,994.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.05 / $2,573.25 / $3,584.85	Facility		$1,650.05	$2,573.25	$3,584.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $2,269.29 / $2,522.40	Facility		$1,641.00	$2,269.29	$2,522.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,650.05 / $2,818.68 / $3,547.61	Facility		$1,650.05	$2,818.68	$3,547.61
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $438.63 / $438.63 / $438.63	Facility	80	$438.63	$438.63	$438.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,980.15 / $5,980.15 / $5,980.15	Facility		$5,980.15	$5,980.15	$5,980.15
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