Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.90 / $6,845.00 / $23,729.03	Facility		$1,325.90	$6,845.00	$23,729.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.95 / $2,108.92 / $2,374.44	Professional		$1,476.95	$2,108.92	$2,374.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,077.97 / $1,796.44 / $2,565.76	Facility		$1,077.97	$1,796.44	$2,565.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,268.42 / $1,740.70 / $1,873.32	Facility		$1,268.42	$1,740.70	$1,873.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.97 / $2,048.65 / $2,386.38	Facility		$1,077.97	$2,048.65	$2,386.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $354.73 / $354.73 / $354.73	Facility	80	$354.73	$354.73	$354.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.52 / $301.52 / $301.52	Facility	AS	$301.52	$301.52	$301.52
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