Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.08 / $2,747.00 / $7,920.26	Facility		$1,161.08	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.70 / $1,286.21 / $1,464.18	Professional		$908.70	$1,286.21	$1,464.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.69 / $1,177.83 / $1,730.87	Facility		$772.69	$1,177.83	$1,730.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $849.81 / $1,106.96 / $1,198.83	Facility		$849.81	$1,106.96	$1,198.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.69 / $1,287.69 / $1,730.87	Facility		$772.69	$1,287.69	$1,730.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.53 / $192.53 / $192.53	Facility	AS	$192.53	$192.53	$192.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00