Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.44 / $10,347.48 / $29,685.44	Facility		$1,778.44	$10,347.48	$29,685.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.54 / $1,836.71 / $2,090.85	Professional		$1,295.54	$1,836.71	$2,090.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $773.49 / $1,380.12 / $2,401.92	Facility		$773.49	$1,380.12	$2,401.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $729.02 / $1,578.21 / $1,666.29	Facility		$729.02	$1,578.21	$1,666.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.51 / $1,681.22 / $2,401.92	Facility		$796.51	$1,681.22	$2,401.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $269.42 / $269.42 / $269.42	Facility	AS	$269.42	$269.42	$269.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00