Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,562.94 / $13,042.97 / $33,185.44	Facility		$2,562.94	$13,042.97	$33,185.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,091.52 / $2,989.66 / $3,366.05	Professional		$2,091.52	$2,989.66	$3,366.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.62 / $2,718.87 / $3,849.83	Facility		$1,790.62	$2,718.87	$3,849.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,844.98 / $2,496.21 / $2,655.88	Facility		$1,844.98	$2,496.21	$2,655.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,790.62 / $2,984.07 / $3,849.83	Facility		$1,790.62	$2,984.07	$3,849.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $504.16 / $504.16 / $504.16	Facility	80	$504.16	$504.16	$504.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $428.53 / $428.53 / $428.53	Facility	AS	$428.53	$428.53	$428.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00