Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,574.95 / $7,920.26	Facility		$2,747.00	$5,574.95	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,037.88 / $5,717.52 / $6,508.64	Professional		$4,037.88	$5,717.52	$6,508.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,410.26 / $5,081.97 / $7,406.65	Facility		$3,410.26	$5,081.97	$7,406.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,719.51 / $4,918.87 / $5,220.35	Facility		$3,719.51	$4,918.87	$5,220.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,410.26 / $5,637.64 / $7,332.06	Facility		$3,410.26	$5,637.64	$7,332.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $844.40 / $844.40 / $844.40	Facility	AS	$844.40	$844.40	$844.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,649.72 / $13,649.72 / $13,649.72	Facility		$13,649.72	$13,649.72	$13,649.72
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