Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.36 / $5,116.62 / $20,400.00	Facility		$1,594.36	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.76 / $1,588.04 / $1,905.19	Professional		$1,355.76	$1,588.04	$1,905.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.10 / $1,406.54 / $1,909.00	Facility		$982.10	$1,406.54	$1,909.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $997.10 / $1,363.45 / $1,463.28	Facility		$997.10	$1,363.45	$1,463.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.02 / $1,510.44 / $5,949.00	Facility		$1,008.02	$1,510.44	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.50 / $232.50 / $232.50	Facility	AS	$232.50	$232.50	$232.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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