Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,119.64 / $7,920.26 / $13,489.00	Facility		$2,119.64	$7,920.26	$13,489.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,943.72 / $3,314.34	Professional		$2,048.67	$2,943.72	$3,314.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,713.78 / $2,672.64 / $3,695.00	Facility		$1,713.78	$2,672.64	$3,695.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,806.68 / $2,481.05 / $2,642.48	Facility		$1,806.68	$2,481.05	$2,642.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,713.78 / $2,856.01 / $3,684.63	Facility		$1,713.78	$2,856.01	$3,684.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $422.74 / $422.74 / $422.74	Facility	AS	$422.74	$422.74	$422.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,849.72 / $6,849.72 / $6,849.72	Facility		$6,849.72	$6,849.72	$6,849.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00