Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.00 / $9,972.00 / $20,400.00	Facility		$2,051.00	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.20 / $2,106.87 / $2,372.13	Professional		$1,476.20	$2,106.87	$2,372.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,798.15 / $2,548.17	Facility		$1,079.00	$1,798.15	$2,548.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,256.79 / $1,737.98 / $1,871.31	Facility		$1,256.79	$1,737.98	$1,871.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,052.26 / $2,386.38	Facility		$1,079.00	$2,052.26	$2,386.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.63 / $301.63 / $301.63	Facility	AS	$301.63	$301.63	$301.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
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