Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,101.50 / $5,116.62 / $16,611.98	Facility		$3,101.50	$5,116.62	$16,611.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,490.71 / $3,584.36 / $4,035.63	Professional		$2,490.71	$3,584.36	$4,035.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,973.16 / $3,339.35 / $4,650.32	Facility		$1,973.16	$3,339.35	$4,650.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,199.15 / $2,957.98 / $3,127.56	Facility		$2,199.15	$2,957.98	$3,127.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,162.94 / $3,530.39 / $4,448.43	Facility		$2,162.94	$3,530.39	$4,448.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $503.01 / $503.01 / $503.01	Facility	AS	$503.01	$503.01	$503.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,604.04 / $8,028.00 / $12,537.31	Facility		$2,604.04	$8,028.00	$12,537.31
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