Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.19 / $6,819.51 / $15,978.56	Facility		$877.19	$6,819.51	$15,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.59 / $1,406.07 / $1,583.10	Professional		$981.59	$1,406.07	$1,583.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.15 / $1,235.40 / $1,837.32	Facility		$625.15	$1,235.40	$1,837.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $890.55 / $1,171.83 / $1,290.42	Facility		$890.55	$1,171.83	$1,290.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.17 / $1,533.32 / $7,952.00	Facility		$713.17	$1,533.32	$7,952.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $234.48 / $234.48 / $234.48	Facility	80	$234.48	$234.48	$234.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $199.31 / $199.31 / $199.31	Facility	AS	$199.31	$199.31	$199.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00