Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,386.90 / $2,860.41 / $7,920.26	Facility		$2,386.90	$2,860.41	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.16 / $2,619.51 / $2,981.96	Professional		$1,858.16	$2,619.51	$2,981.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,582.32 / $2,467.63 / $3,561.71	Facility		$1,582.32	$2,467.63	$3,561.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,762.13 / $2,263.57 / $2,459.56	Facility		$1,762.13	$2,263.57	$2,459.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,582.32 / $2,636.94 / $3,561.71	Facility		$1,582.32	$2,636.94	$3,561.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $395.01 / $395.01 / $395.01	Facility	AS	$395.01	$395.01	$395.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,546.25 / $6,546.25 / $6,546.25	Facility		$6,546.25	$6,546.25	$6,546.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00