Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,069.50 / $7,920.26 / $33,878.79	Facility		$4,069.50	$7,920.26	$33,878.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,203.20 / $4,535.24 / $5,162.77	Professional		$3,203.20	$4,535.24	$5,162.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,333.12 / $3,467.47 / $5,861.82	Facility		$2,333.12	$3,467.47	$5,861.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,519.04 / $3,902.07 / $4,117.82	Facility		$2,519.04	$3,902.07	$4,117.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,333.12 / $4,223.97 / $5,823.36	Facility		$2,333.12	$4,223.97	$5,823.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $670.32 / $670.32 / $670.32	Facility	AS	$670.32	$670.32	$670.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,831.73 / $10,831.73 / $10,831.73	Facility		$10,831.73	$10,831.73	$10,831.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $8,571.00 / $36,803.00	Facility		$2,446.00	$8,571.00	$36,803.00