Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,479.46 / $3,001.32 / $7,920.26	Facility		$2,479.46	$3,001.32	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,951.82 / $2,752.98 / $3,133.90	Professional		$1,951.82	$2,752.98	$3,133.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,643.13 / $2,518.50 / $3,672.78	Facility		$1,643.13	$2,518.50	$3,672.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,816.88 / $2,377.66 / $2,547.34	Facility		$1,816.88	$2,377.66	$2,547.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,643.13 / $2,738.28 / $3,532.73	Facility		$1,643.13	$2,738.28	$3,532.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $412.37 / $412.37 / $412.37	Facility	AS	$412.37	$412.37	$412.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,729.03 / $6,729.03 / $6,729.03	Facility		$6,729.03	$6,729.03	$6,729.03
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