Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.93 / $2,747.00 / $7,920.26	Facility		$1,886.93	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,477.00 / $2,088.67 / $2,377.69	Professional		$1,477.00	$2,088.67	$2,377.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.58 / $1,882.32 / $2,800.87	Facility		$1,254.58	$1,882.32	$2,800.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,386.45 / $1,799.26 / $1,967.12	Facility		$1,386.45	$1,799.26	$1,967.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.58 / $2,090.76 / $2,800.87	Facility		$1,254.58	$2,090.76	$2,800.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.44 / $312.44 / $312.44	Facility	AS	$312.44	$312.44	$312.44
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