Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,130.09 / $7,920.26	Facility		$2,747.00	$5,130.09	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,706.60 / $5,252.32 / $5,979.07	Professional		$3,706.60	$5,252.32	$5,979.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,136.01 / $4,665.03 / $6,762.43	Facility		$3,136.01	$4,665.03	$6,762.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,393.92 / $4,515.31 / $4,767.05	Facility		$3,393.92	$4,515.31	$4,767.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,136.01 / $5,154.82 / $6,742.42	Facility		$3,136.01	$5,154.82	$6,742.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $776.14 / $776.14 / $776.14	Facility	AS	$776.14	$776.14	$776.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,466.08 / $12,466.08 / $12,466.08	Facility		$12,466.08	$12,466.08	$12,466.08
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