Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,950.37 / $7,920.26	Facility		$2,747.00	$4,950.37	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,220.95 / $4,624.46 / $5,206.67	Professional		$3,220.95	$4,624.46	$5,206.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,661.37 / $4,117.60 / $5,721.95	Facility		$2,661.37	$4,117.60	$5,721.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,850.11 / $3,849.30 / $4,223.01	Facility		$2,850.11	$3,849.30	$4,223.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,661.37 / $4,435.17 / $5,710.95	Facility		$2,661.37	$4,435.17	$5,710.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $669.77 / $669.77 / $669.77	Facility	AS	$669.77	$669.77	$669.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,796.24 / $10,796.24 / $10,796.24	Facility		$10,796.24	$10,796.24	$10,796.24
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