Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.08 / $16,625.81 / $35,420.40	Facility		$1,776.08	$16,625.81	$35,420.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,449.39 / $2,074.84 / $2,336.06	Professional		$1,449.39	$2,074.84	$2,336.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.73 / $1,956.78 / $2,881.39	Facility		$1,050.73	$1,956.78	$2,881.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,253.42 / $1,737.31 / $1,963.00	Facility		$1,253.42	$1,737.31	$1,963.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.73 / $2,135.98 / $2,492.37	Facility		$1,050.73	$2,135.98	$2,492.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $346.77 / $346.77 / $346.77	Facility	80	$346.77	$346.77	$346.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $294.75 / $294.75 / $294.75	Facility	AS	$294.75	$294.75	$294.75
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