Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,787.06 / $7,920.26	Facility		$2,747.00	$6,787.06	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,902.32 / $6,930.38 / $7,889.32	Professional		$4,902.32	$6,930.38	$7,889.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,150.04 / $6,324.73 / $9,000.53	Facility		$4,150.04	$6,324.73	$9,000.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,544.13 / $5,971.91 / $6,383.84	Facility		$4,544.13	$5,971.91	$6,383.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,150.04 / $6,916.04 / $9,000.53	Facility		$4,150.04	$6,916.04	$9,000.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,030.38 / $1,030.38 / $1,030.38	Facility	AS	$1,030.38	$1,030.38	$1,030.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,653.97 / $16,653.97 / $16,653.97	Facility		$16,653.97	$16,653.97	$16,653.97
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