Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.75 / $9,972.00 / $15,978.56	Facility		$993.75	$9,972.00	$15,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.85 / $1,584.88 / $1,784.41	Professional		$1,107.85	$1,584.88	$1,784.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $807.93 / $1,063.43 / $1,737.05	Facility		$807.93	$1,063.43	$1,737.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.93 / $1,017.06 / $1,401.64	Facility		$689.93	$1,017.06	$1,401.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.93 / $1,208.70 / $1,786.56	Facility		$807.93	$1,208.70	$1,786.56
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $265.44 / $265.44 / $265.44	Facility	80	$265.44	$265.44	$265.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $225.62 / $225.62 / $225.62	Facility	AS	$225.62	$225.62	$225.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,892.24 / $23,665.33 / $28,288.01	Facility		$18,892.24	$23,665.33	$28,288.01
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