Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.94 / $7,920.26 / $20,400.00	Facility		$1,998.94	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.03 / $2,053.81 / $2,312.39	Professional		$1,438.03	$2,053.81	$2,312.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.70 / $1,754.32 / $2,494.48	Facility		$1,052.70	$1,754.32	$2,494.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.63 / $1,673.45 / $1,823.74	Facility		$1,230.63	$1,673.45	$1,823.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.70 / $1,952.43 / $2,326.31	Facility		$1,052.70	$1,952.43	$2,326.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $294.10 / $294.10 / $294.10	Facility	AS	$294.10	$294.10	$294.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,494.88 / $4,494.88 / $4,494.88	Facility		$4,494.88	$4,494.88	$4,494.88
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