Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,759.39 / $7,920.26	Facility		$2,747.00	$4,759.39	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,100.43 / $4,455.43 / $5,016.37	Professional		$3,100.43	$4,455.43	$5,016.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,557.96 / $3,940.63 / $5,499.64	Facility		$2,557.96	$3,940.63	$5,499.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.34 / $3,776.88 / $4,054.84	Facility		$2,818.34	$3,776.88	$4,054.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,557.96 / $4,262.85 / $5,483.25	Facility		$2,557.96	$4,262.85	$5,483.25
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $643.78 / $643.78 / $643.78	Facility	AS	$643.78	$643.78	$643.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,359.75 / $10,359.75 / $10,359.75	Facility		$10,359.75	$10,359.75	$10,359.75
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