Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.16 / $7,920.26 / $13,746.00	Facility		$1,186.16	$7,920.26	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,129.96 / $1,620.41 / $1,824.42	Professional		$1,129.96	$1,620.41	$1,824.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.36 / $1,454.47 / $2,073.37	Facility		$964.36	$1,454.47	$2,073.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.93 / $1,335.55 / $1,429.11	Facility		$986.93	$1,335.55	$1,429.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.36 / $1,607.11 / $2,073.37	Facility		$964.36	$1,607.11	$2,073.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.19 / $270.19 / $270.19	Facility	80	$270.19	$270.19	$270.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.66 / $229.66 / $229.66	Facility	AS	$229.66	$229.66	$229.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
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