Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.44 / $2,881.98 / $7,920.26	Facility		$2,366.44	$2,881.98	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,874.84 / $2,665.76 / $3,001.38	Professional		$1,874.84	$2,665.76	$3,001.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,749.21 / $2,658.89 / $3,760.80	Facility		$1,749.21	$2,658.89	$3,760.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,620.12 / $2,283.89 / $2,407.98	Facility		$1,620.12	$2,283.89	$2,407.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,749.21 / $2,874.29 / $3,760.80	Facility		$1,749.21	$2,874.29	$3,760.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $389.87 / $389.87 / $389.87	Facility	AS	$389.87	$389.87	$389.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,285.40 / $6,285.40 / $6,285.40	Facility		$6,285.40	$6,285.40	$6,285.40
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