Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.49 / $2,747.00 / $7,920.26	Facility		$1,421.49	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.73 / $1,565.81 / $1,782.46	Professional		$1,110.73	$1,565.81	$1,782.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.26 / $1,397.93 / $2,058.53	Facility		$942.26	$1,397.93	$2,058.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,032.47 / $1,353.08 / $1,439.83	Facility		$1,032.47	$1,353.08	$1,439.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.26 / $1,564.12 / $2,025.86	Facility		$942.26	$1,564.12	$2,025.86
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $234.25 / $234.25 / $234.25	Facility	AS	$234.25	$234.25	$234.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,788.62 / $3,788.62 / $3,788.62	Facility		$3,788.62	$3,788.62	$3,788.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00