Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,441.84 / $4,949.16 / $5,572.25	Professional		$3,441.84	$4,949.16	$5,572.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,837.68 / $4,343.95 / $6,101.01	Facility		$2,837.68	$4,343.95	$6,101.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,945.84 / $4,066.54 / $4,496.37	Facility		$2,945.84	$4,066.54	$4,496.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,837.68 / $4,728.99 / $6,036.76	Facility		$2,837.68	$4,728.99	$6,036.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $840.26 / $840.26 / $840.26	Facility	80	$840.26	$840.26	$840.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $714.22 / $714.22 / $714.22	Facility	AS	$714.22	$714.22	$714.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,396.04 / $11,396.04 / $11,396.04	Facility		$11,396.04	$11,396.04	$11,396.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00