Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.30 / $9,338.46 / $20,400.00	Facility		$1,686.30	$9,338.46	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.11 / $2,045.25 / $2,302.98	Professional		$1,406.11	$2,045.25	$2,302.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.84 / $1,674.10 / $2,472.59	Facility		$931.84	$1,674.10	$2,472.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,086.60 / $1,617.38 / $1,811.01	Facility		$1,086.60	$1,617.38	$1,811.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.04 / $2,025.00 / $5,626.00	Facility		$1,150.04	$2,025.00	$5,626.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $284.92 / $284.92 / $284.92	Facility	AS	$284.92	$284.92	$284.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80,087.00 / $100,320.86 / $122,981.33	Facility		$80,087.00	$100,320.86	$122,981.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00