Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.36 / $2,747.00 / $7,920.26	Facility		$1,500.36	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.42 / $1,700.68 / $1,936.00	Professional		$1,194.42	$1,700.68	$1,936.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.73 / $1,503.26 / $2,226.07	Facility		$1,003.73	$1,503.26	$2,226.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.31 / $1,455.02 / $1,553.06	Facility		$1,074.31	$1,455.02	$1,553.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.73 / $1,672.72 / $2,158.02	Facility		$1,003.73	$1,672.72	$2,158.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $247.03 / $247.03 / $247.03	Facility	AS	$247.03	$247.03	$247.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,115.13 / $4,115.13 / $4,115.13	Facility		$4,115.13	$4,115.13	$4,115.13
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