Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.39 / $2,747.00 / $7,920.26	Facility		$1,751.39	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.59 / $2,000.94 / $2,252.85	Professional		$1,400.59	$2,000.94	$2,252.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.57 / $1,716.71 / $2,491.71	Facility		$890.57	$1,716.71	$2,491.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.23 / $1,697.11 / $1,786.89	Facility		$1,243.23	$1,697.11	$1,786.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.57 / $1,914.73 / $2,275.67	Facility		$890.57	$1,914.73	$2,275.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $289.07 / $289.07 / $289.07	Facility	AS	$289.07	$289.07	$289.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,604.89 / $4,604.89 / $4,604.89	Facility		$4,604.89	$4,604.89	$4,604.89
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