Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $4,962.67 / $15,341.00	Facility		$1,486.00	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,571.33 / $1,861.01 / $2,232.67	Professional		$1,571.33	$1,861.01	$2,232.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $1,522.10 / $1,955.85	Facility		$1,082.00	$1,522.10	$1,955.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,101.75 / $1,523.58 / $1,701.80	Facility		$1,101.75	$1,523.58	$1,701.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.54 / $1,664.33 / $2,926.50	Facility		$1,160.54	$1,664.33	$2,926.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $276.19 / $276.19 / $276.19	Facility	AS	$276.19	$276.19	$276.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
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