Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.89 / $2,747.00 / $7,920.26	Facility		$1,705.89	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,363.20 / $1,946.59 / $2,191.66	Professional		$1,363.20	$1,946.59	$2,191.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.04 / $1,831.18 / $2,721.64	Facility		$1,192.04	$1,831.18	$2,721.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,221.91 / $1,638.00 / $1,737.98	Facility		$1,221.91	$1,638.00	$1,737.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.88 / $1,974.14 / $2,430.63	Facility		$1,265.88	$1,974.14	$2,430.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.66 / $280.66 / $280.66	Facility	AS	$280.66	$280.66	$280.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,482.49 / $4,482.49 / $4,482.49	Facility		$4,482.49	$4,482.49	$4,482.49
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