Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.91 / $7,187.00 / $15,978.56	Facility		$1,542.91	$7,187.00	$15,978.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.99 / $1,706.86 / $1,921.75	Professional		$1,190.99	$1,706.86	$1,921.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $1,489.71 / $1,944.69	Facility		$865.25	$1,489.71	$1,944.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $989.83 / $1,369.48 / $1,502.14	Facility		$989.83	$1,369.48	$1,502.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $1,713.96 / $7,952.00	Facility		$865.25	$1,713.96	$7,952.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $241.13 / $241.13 / $241.13	Facility	AS	$241.13	$241.13	$241.13
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