Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.65 / $2,747.00 / $7,920.26	Facility		$2,068.65	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,645.71 / $2,343.69 / $2,638.76	Professional		$1,645.71	$2,343.69	$2,638.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.20 / $2,194.29 / $3,291.78	Facility		$1,273.20	$2,194.29	$3,291.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,440.08 / $1,986.40 / $2,099.78	Facility		$1,440.08	$1,986.40	$2,099.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,531.06 / $2,387.69 / $2,931.38	Facility		$1,531.06	$2,387.69	$2,931.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $340.40 / $340.40 / $340.40	Facility	AS	$340.40	$340.40	$340.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,458.46 / $5,458.46 / $5,458.46	Facility		$5,458.46	$5,458.46	$5,458.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00