Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,190.04 / $2,747.00 / $7,920.26	Facility		$2,190.04	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,752.11 / $2,496.28 / $2,810.56	Professional		$1,752.11	$2,496.28	$2,810.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.93 / $2,337.58 / $3,222.70	Facility		$1,498.93	$2,337.58	$3,222.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,572.20 / $2,134.40 / $2,239.81	Facility		$1,572.20	$2,134.40	$2,239.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,498.93 / $2,494.06 / $3,115.57	Facility		$1,498.93	$2,494.06	$3,115.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $361.26 / $361.26 / $361.26	Facility	AS	$361.26	$361.26	$361.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,781.41 / $5,781.41 / $5,781.41	Facility		$5,781.41	$5,781.41	$5,781.41
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