Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,518.03 / $20,892.00 / $66,334.21	Facility		$2,518.03	$20,892.00	$66,334.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,939.51 / $2,770.45 / $3,119.25	Professional		$1,939.51	$2,770.45	$3,119.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.29 / $2,521.16 / $3,691.29	Facility		$1,409.29	$2,521.16	$3,691.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,684.12 / $2,328.92 / $2,594.91	Facility		$1,684.12	$2,328.92	$2,594.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.29 / $2,870.97 / $3,191.40	Facility		$1,409.29	$2,870.97	$3,191.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.46 / $464.46 / $464.46	Facility	80	$464.46	$464.46	$464.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $394.79 / $394.79 / $394.79	Facility	AS	$394.79	$394.79	$394.79
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