Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.42 / $2,747.00 / $15,978.56	Facility		$849.42	$2,747.00	$15,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.22 / $1,595.55 / $1,796.43	Professional		$1,115.22	$1,595.55	$1,796.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.75 / $1,354.45 / $1,913.22	Facility		$812.75	$1,354.45	$1,913.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $949.14 / $1,312.53 / $1,411.69	Facility		$949.14	$1,312.53	$1,411.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.75 / $1,545.78 / $1,802.01	Facility		$812.75	$1,545.78	$1,802.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $267.37 / $267.37 / $267.37	Facility	80	$267.37	$267.37	$267.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $227.26 / $227.26 / $227.26	Facility	AS	$227.26	$227.26	$227.26
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