Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.44 / $2,747.00 / $7,920.26	Facility		$1,865.44	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,483.70 / $2,114.34 / $2,380.54	Professional		$1,483.70	$2,114.34	$2,380.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,302.41 / $1,996.18 / $2,970.55	Facility		$1,302.41	$1,996.18	$2,970.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.13 / $1,807.42 / $1,900.79	Facility		$1,340.13	$1,807.42	$1,900.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,381.65 / $2,154.67 / $2,658.32	Facility		$1,381.65	$2,154.67	$2,658.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $307.20 / $307.20 / $307.20	Facility	AS	$307.20	$307.20	$307.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,927.89 / $4,927.89 / $4,927.89	Facility		$4,927.89	$4,927.89	$4,927.89
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