Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.56 / $9,338.46 / $13,320.00	Facility		$2,102.56	$9,338.46	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,880.03 / $2,324.40 / $2,802.89	Professional		$1,880.03	$2,324.40	$2,802.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.90 / $1,750.74 / $3,254.41	Facility		$1,377.90	$1,750.74	$3,254.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,636.16 / $2,251.87 / $2,357.73	Facility		$1,636.16	$2,251.87	$2,357.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.01 / $2,420.03 / $6,437.00	Facility		$1,410.01	$2,420.03	$6,437.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $378.52 / $378.52 / $378.52	Facility	AS	$378.52	$378.52	$378.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00