Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,811.82 / $7,920.26	Facility		$2,747.00	$3,811.82	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,482.92 / $3,541.82 / $3,987.73	Professional		$2,482.92	$3,541.82	$3,987.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,302.98 / $3,338.29 / $4,951.43	Facility		$2,302.98	$3,338.29	$4,951.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,193.17 / $2,999.90 / $3,177.14	Facility		$2,193.17	$2,999.90	$3,177.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,302.98 / $3,591.51 / $4,416.04	Facility		$2,302.98	$3,591.51	$4,416.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $513.16 / $513.16 / $513.16	Facility	AS	$513.16	$513.16	$513.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,157.51 / $8,157.51 / $8,157.51	Facility		$8,157.51	$8,157.51	$8,157.51
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