Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.42 / $2,747.00 / $7,920.26	Facility		$1,940.42	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,546.80 / $2,205.27 / $2,482.91	Professional		$1,546.80	$2,205.27	$2,482.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,388.56 / $2,086.85 / $3,091.38	Facility		$1,388.56	$2,086.85	$3,091.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,391.97 / $1,870.05 / $1,977.84	Facility		$1,391.97	$1,870.05	$1,977.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,437.85 / $2,242.33 / $2,772.17	Facility		$1,437.85	$2,242.33	$2,772.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $320.95 / $320.95 / $320.95	Facility	AS	$320.95	$320.95	$320.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,123.08 / $5,123.08 / $5,123.08	Facility		$5,123.08	$5,123.08	$5,123.08
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