Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.58 / $7,920.26 / $20,400.00	Facility		$1,671.58	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,415.68 / $1,658.22 / $1,989.39	Professional		$1,415.68	$1,658.22	$1,989.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,061.85 / $1,378.88 / $1,835.15	Facility		$1,061.85	$1,378.88	$1,835.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,050.40 / $1,445.19 / $1,541.67	Facility		$1,050.40	$1,445.19	$1,541.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,061.85 / $1,512.16 / $5,949.00	Facility		$1,061.85	$1,512.16	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.94 / $245.94 / $245.94	Facility	AS	$245.94	$245.94	$245.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00