Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.52 / $3,087.74 / $7,920.26	Facility		$2,454.52	$3,087.74	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.25 / $2,903.46 / $3,269.01	Professional		$2,013.25	$2,903.46	$3,269.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.05 / $2,530.10 / $3,566.64	Facility		$1,603.05	$2,530.10	$3,566.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,802.82 / $2,434.11 / $2,620.37	Facility		$1,802.82	$2,434.11	$2,620.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,658.90 / $2,764.56 / $3,515.43	Facility		$1,658.90	$2,764.56	$3,515.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $488.74 / $488.74 / $488.74	Facility	80	$488.74	$488.74	$488.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $415.43 / $415.43 / $415.43	Facility	AS	$415.43	$415.43	$415.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,617.22 / $6,617.22 / $6,617.22	Facility		$6,617.22	$6,617.22	$6,617.22
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,925.83 / $9,925.83 / $9,925.83	Facility	50	$9,925.83	$9,925.83	$9,925.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00