Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.97 / $2,747.00 / $7,920.26	Facility		$1,944.97	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.83 / $2,172.87 / $2,473.52	Professional		$1,535.83	$2,172.87	$2,473.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,292.71 / $1,945.11 / $2,859.18	Facility		$1,292.71	$1,945.11	$2,859.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.54 / $1,870.91 / $2,016.88	Facility		$1,387.54	$1,870.91	$2,016.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.71 / $2,154.30 / $2,859.18	Facility		$1,292.71	$2,154.30	$2,859.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $323.91 / $323.91 / $323.91	Facility	AS	$323.91	$323.91	$323.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $16,642.54 / $20,571.93	Facility		$12,954.82	$16,642.54	$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