Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.59 / $7,920.26 / $33,042.61	Facility		$1,908.59	$7,920.26	$33,042.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.92 / $1,978.94 / $2,228.09	Professional		$1,387.92	$1,978.94	$2,228.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,290.92 / $1,887.97 / $2,775.48	Facility		$1,290.92	$1,887.97	$2,775.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,227.59 / $1,690.73 / $1,777.51	Facility		$1,227.59	$1,690.73	$1,777.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,290.92 / $2,013.19 / $2,480.61	Facility		$1,290.92	$2,013.19	$2,480.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,599.60 / $4,599.60 / $4,599.60	Facility		$4,599.60	$4,599.60	$4,599.60
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