Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,239.02 / $7,920.26	Facility		$2,747.00	$5,239.02	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,789.75 / $5,369.67 / $6,112.66	Professional		$3,789.75	$5,369.67	$6,112.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,328.62 / $4,105.39 / $6,906.83	Facility		$2,328.62	$4,105.39	$6,906.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,538.13 / $4,616.60 / $4,874.25	Facility		$2,538.13	$4,616.60	$4,874.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,328.62 / $5,001.07 / $6,894.71	Facility		$2,328.62	$5,001.07	$6,894.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $792.96 / $792.96 / $792.96	Facility	AS	$792.96	$792.96	$792.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,758.89 / $12,758.89 / $12,758.89	Facility		$12,758.89	$12,758.89	$12,758.89
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