Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,707.56 / $3,348.40 / $7,920.26	Facility		$2,707.56	$3,348.40	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,171.60 / $3,105.85 / $3,496.88	Professional		$2,171.60	$3,105.85	$3,496.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.08 / $2,621.54 / $3,699.62	Facility		$1,573.08	$2,621.54	$3,699.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,919.33 / $2,598.39 / $2,749.01	Facility		$1,919.33	$2,598.39	$2,749.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.08 / $2,985.13 / $3,488.18	Facility		$1,573.08	$2,985.13	$3,488.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $439.78 / $439.78 / $439.78	Facility	AS	$439.78	$439.78	$439.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,025.36 / $7,025.36 / $7,025.36	Facility		$7,025.36	$7,025.36	$7,025.36
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