Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,820.46 / $7,920.26	Facility		$2,747.00	$3,820.46	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,486.52 / $3,542.19 / $3,988.14	Professional		$2,486.52	$3,542.19	$3,988.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,311.10 / $3,350.04 / $4,974.99	Facility		$2,311.10	$3,350.04	$4,974.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,230.11 / $3,029.04 / $3,186.52	Facility		$2,230.11	$3,029.04	$3,186.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,313.94 / $3,608.61 / $4,441.03	Facility		$2,313.94	$3,608.61	$4,441.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $515.67 / $515.67 / $515.67	Facility	AS	$515.67	$515.67	$515.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,230.27 / $8,230.27 / $8,230.27	Facility		$8,230.27	$8,230.27	$8,230.27
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