Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.50 / $10,347.48 / $20,400.00	Facility		$2,578.50	$10,347.48	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,881.75 / $2,680.96 / $3,018.49	Professional		$1,881.75	$2,680.96	$3,018.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,610.07 / $2,458.66 / $3,461.65	Facility		$1,610.07	$2,458.66	$3,461.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,582.20 / $2,252.55 / $2,390.56	Facility		$1,582.20	$2,252.55	$2,390.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,610.07 / $2,596.52 / $3,242.38	Facility		$1,610.07	$2,596.52	$3,242.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $452.51 / $452.51 / $452.51	Facility	80	$452.51	$452.51	$452.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $384.63 / $384.63 / $384.63	Facility	AS	$384.63	$384.63	$384.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,125.66 / $6,125.66 / $6,125.66	Facility		$6,125.66	$6,125.66	$6,125.66
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