Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,381.19 / $7,920.26	Facility		$2,747.00	$5,381.19	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,898.64 / $5,522.85 / $6,287.04	Professional		$3,898.64	$5,522.85	$6,287.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,157.95 / $4,906.72 / $7,109.53	Facility		$3,157.95	$4,906.72	$7,109.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,576.58 / $4,749.24 / $5,003.56	Facility		$3,576.58	$4,749.24	$5,003.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,157.95 / $5,399.75 / $7,069.61	Facility		$3,157.95	$5,399.75	$7,069.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $813.71 / $813.71 / $813.71	Facility	AS	$813.71	$813.71	$813.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,088.98 / $13,088.98 / $13,088.98	Facility		$13,088.98	$13,088.98	$13,088.98
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