Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,961.81 / $7,920.26 / $38,996.89	Facility		$3,961.81	$7,920.26	$38,996.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,218.52 / $4,616.32 / $5,197.51	Professional		$3,218.52	$4,616.32	$5,197.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,597.89 / $4,133.38 / $5,740.57	Facility		$2,597.89	$4,133.38	$5,740.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,957.87 / $3,920.75 / $4,220.33	Facility		$2,957.87	$3,920.75	$4,220.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,662.62 / $4,437.26 / $5,724.63	Facility		$2,662.62	$4,437.26	$5,724.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $790.02 / $790.02 / $790.02	Facility	80	$790.02	$790.02	$790.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $671.52 / $671.52 / $671.52	Facility	AS	$671.52	$671.52	$671.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,863.69 / $10,863.69 / $10,863.69	Facility		$10,863.69	$10,863.69	$10,863.69
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