Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.78 / $2,747.00 / $7,920.26	Facility		$1,816.78	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.70 / $2,060.32 / $2,319.71	Professional		$1,445.70	$2,060.32	$2,319.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.68 / $2,098.59 / $2,893.21	Facility		$1,345.68	$2,098.59	$2,893.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,290.77 / $1,761.13 / $1,853.00	Facility		$1,290.77	$1,761.13	$1,853.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,345.68 / $2,203.65 / $2,893.21	Facility		$1,345.68	$2,203.65	$2,893.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $299.33 / $299.33 / $299.33	Facility	AS	$299.33	$299.33	$299.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,803.64 / $4,803.64 / $4,803.64	Facility		$4,803.64	$4,803.64	$4,803.64
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