Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.70 / $17,755.89 / $27,812.16	Facility		$1,667.70	$17,755.89	$27,812.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.81 / $1,846.25 / $2,078.69	Professional		$1,289.81	$1,846.25	$2,078.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.44 / $1,737.10 / $2,586.13	Facility		$932.44	$1,737.10	$2,586.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.61 / $1,540.33 / $1,806.99	Facility		$1,074.61	$1,540.33	$1,806.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.44 / $1,870.00 / $2,242.08	Facility		$932.44	$1,870.00	$2,242.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $307.83 / $307.83 / $307.83	Facility	80	$307.83	$307.83	$307.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $261.66 / $261.66 / $261.66	Facility	AS	$261.66	$261.66	$261.66
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 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00