Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.74 / $3,225.09 / $7,920.26	Facility		$2,650.74	$3,225.09	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,101.13 / $2,987.56 / $3,400.94	Professional		$2,101.13	$2,987.56	$3,400.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.31 / $2,644.42 / $3,808.32	Facility		$1,771.31	$2,644.42	$3,808.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,907.96 / $2,559.55 / $2,705.04	Facility		$1,907.96	$2,559.55	$2,705.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,771.31 / $2,895.10 / $3,808.32	Facility		$1,771.31	$2,895.10	$3,808.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $436.61 / $436.61 / $436.61	Facility	AS	$436.61	$436.61	$436.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,016.49 / $7,016.49 / $7,016.49	Facility		$7,016.49	$7,016.49	$7,016.49
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