Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,827.61 / $7,920.26	Facility		$2,747.00	$5,827.61	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,214.46 / $5,966.29 / $6,791.83	Professional		$4,214.46	$5,966.29	$6,791.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,698.36 / $5,304.20 / $7,728.76	Facility		$2,698.36	$5,304.20	$7,728.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,649.34 / $5,133.97 / $5,463.80	Facility		$3,649.34	$5,133.97	$5,463.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,698.36 / $5,797.51 / $7,657.12	Facility		$2,698.36	$5,797.51	$7,657.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $881.53 / $881.53 / $881.53	Facility	AS	$881.53	$881.53	$881.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,240.65 / $14,240.65 / $14,240.65	Facility		$14,240.65	$14,240.65	$14,240.65
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