Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.48 / $2,333.59 / $7,920.26	Facility		$370.48	$2,333.59	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $2,414.44 / $2,718.42	Professional		$1,696.00	$2,414.44	$2,718.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.76 / $2,276.14 / $3,395.67	Facility		$1,288.76	$2,276.14	$3,395.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,535.87 / $2,066.04 / $2,172.81	Facility		$1,535.87	$2,066.04	$2,172.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,579.38 / $2,463.04 / $3,033.19	Facility		$1,579.38	$2,463.04	$3,033.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $351.76 / $351.76 / $351.76	Facility	AS	$351.76	$351.76	$351.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,650.12 / $5,650.12 / $5,650.12	Facility		$5,650.12	$5,650.12	$5,650.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00