Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.59 / $6,091.64 / $29,366.96	Facility		$658.59	$6,091.64	$29,366.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,967.83 / $5,691.42 / $6,407.96	Professional		$3,967.83	$5,691.42	$6,407.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,278.53 / $5,081.18 / $7,048.84	Facility		$3,278.53	$5,081.18	$7,048.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,533.46 / $4,742.39 / $5,199.20	Facility		$3,533.46	$4,742.39	$5,199.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,278.53 / $5,463.67 / $7,040.11	Facility		$3,278.53	$5,463.67	$7,040.11
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $974.14 / $974.14 / $974.14	Facility	80	$974.14	$974.14	$974.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $828.02 / $828.02 / $828.02	Facility	AS	$828.02	$828.02	$828.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,298.33 / $13,298.33 / $13,298.33	Facility		$13,298.33	$13,298.33	$13,298.33
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