Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.27 / $11,580.00 / $21,735.00	Facility		$1,746.27	$11,580.00	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.27 / $1,980.74 / $2,230.11	Professional		$1,387.27	$1,980.74	$2,230.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.51 / $1,745.98 / $2,529.66	Facility		$1,013.51	$1,745.98	$2,529.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,234.52 / $1,687.06 / $1,772.15	Facility		$1,234.52	$1,687.06	$1,772.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.51 / $2,158.83 / $9,325.04	Facility		$1,013.51	$2,158.83	$9,325.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $333.53 / $333.53 / $333.53	Facility	80	$333.53	$333.53	$333.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $283.50 / $283.50 / $283.50	Facility	AS	$283.50	$283.50	$283.50
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00