Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.75 / $12,274.80 / $21,735.00	Facility		$976.75	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.50 / $1,339.82 / $1,525.21	Professional		$944.50	$1,339.82	$1,525.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $762.94 / $1,016.62 / $1,707.34	Facility		$762.94	$1,016.62	$1,707.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.58 / $1,093.86 / $1,215.38	Facility		$719.58	$1,093.86	$1,215.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.11 / $1,451.82 / $11,983.00	Facility		$794.11	$1,451.82	$11,983.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $197.45 / $197.45 / $197.45	Facility	AS	$197.45	$197.45	$197.45
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 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00