Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,855.79 / $5,522.24 / $21,150.83	Facility		$3,855.79	$5,522.24	$21,150.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,145.58 / $4,517.21 / $5,085.92	Professional		$3,145.58	$4,517.21	$5,085.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,594.31 / $4,001.29 / $5,577.77	Facility		$2,594.31	$4,001.29	$5,577.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,831.52 / $3,731.00 / $4,103.08	Facility		$2,831.52	$3,731.00	$4,103.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,594.31 / $4,323.42 / $5,533.24	Facility		$2,594.31	$4,323.42	$5,533.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $769.21 / $769.21 / $769.21	Facility	80	$769.21	$769.21	$769.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $653.83 / $653.83 / $653.83	Facility	AS	$653.83	$653.83	$653.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.29 / $10,473.29 / $10,473.29	Facility		$10,473.29	$10,473.29	$10,473.29
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