Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,706.96 / $5,321.11 / $5,991.03	Professional		$3,706.96	$5,321.11	$5,991.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,871.46 / $4,694.18 / $6,579.11	Facility		$2,871.46	$4,694.18	$6,579.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,384.23 / $4,515.75 / $4,859.51	Facility		$3,384.23	$4,515.75	$4,859.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,060.05 / $5,099.57 / $6,556.95	Facility		$3,060.05	$5,099.57	$6,556.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $772.54 / $772.54 / $772.54	Facility	AS	$772.54	$772.54	$772.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,418.16 / $12,418.16 / $12,418.16	Facility		$12,418.16	$12,418.16	$12,418.16
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