Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.23 / $7,920.26 / $20,400.00	Facility		$1,665.23	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,322.18 / $1,888.89 / $2,126.69	Professional		$1,322.18	$1,888.89	$2,126.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $967.08 / $1,794.38 / $2,685.17	Facility		$967.08	$1,794.38	$2,685.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,137.78 / $1,605.99 / $1,831.81	Facility		$1,137.78	$1,605.99	$1,831.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.08 / $1,966.90 / $2,328.75	Facility		$967.08	$1,966.90	$2,328.75
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.99 / $317.99 / $317.99	Facility	80	$317.99	$317.99	$317.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $270.29 / $270.29 / $270.29	Facility	AS	$270.29	$270.29	$270.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00