Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.84 / $926.68 / $7,920.26	Facility		$762.84	$926.68	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.01 / $776.11 / $883.50	Professional		$549.01	$776.11	$883.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.57 / $668.95 / $1,056.55	Facility		$336.57	$668.95	$1,056.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.22 / $668.79 / $833.30	Facility		$521.22	$668.79	$833.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.57 / $729.53 / $1,056.55	Facility		$336.57	$729.53	$1,056.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $115.76 / $115.76 / $115.76	Facility	AS	$115.76	$115.76	$115.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,274.94 / $2,274.94 / $2,274.94	Facility		$2,274.94	$2,274.94	$2,274.94
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