Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.01 / $7,920.26 / $20,400.00	Facility		$1,914.01	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.61 / $2,004.47 / $2,256.83	Professional		$1,398.61	$2,004.47	$2,256.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.96 / $1,760.26 / $2,641.04	Facility		$1,217.96	$1,760.26	$2,641.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,070.11 / $1,655.19 / $1,783.54	Facility		$1,070.11	$1,655.19	$1,783.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,228.39 / $2,080.81 / $6,246.00	Facility		$1,228.39	$2,080.81	$6,246.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
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