Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.32 / $13,042.97 / $30,982.78	Facility		$1,983.32	$13,042.97	$30,982.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,431.69 / $2,021.46 / $2,301.17	Professional		$1,431.69	$2,021.46	$2,301.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.56 / $1,854.03 / $2,724.04	Facility		$1,213.56	$1,854.03	$2,724.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,345.94 / $1,744.05 / $1,882.92	Facility		$1,345.94	$1,744.05	$1,882.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.56 / $2,312.00 / $11,983.00	Facility		$1,213.56	$2,312.00	$11,983.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $302.39 / $302.39 / $302.39	Facility	AS	$302.39	$302.39	$302.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$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