Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,522.21 / $7,920.26	Facility		$2,747.00	$6,522.21	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,707.00 / $6,660.54 / $7,582.14	Professional		$4,707.00	$6,660.54	$7,582.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,888.42 / $5,924.10 / $8,649.73	Facility		$2,888.42	$5,924.10	$8,649.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,767.82 / $5,733.97 / $6,098.24	Facility		$3,767.82	$5,733.97	$6,098.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,888.42 / $6,489.42 / $8,590.41	Facility		$2,888.42	$6,489.42	$8,590.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $983.31 / $983.31 / $983.31	Facility	AS	$983.31	$983.31	$983.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,965.46 / $15,965.46 / $15,965.46	Facility		$15,965.46	$15,965.46	$15,965.46
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