Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.55 / $2,761.93 / $7,920.26	Facility		$2,208.55	$2,761.93	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,802.82 / $2,594.35 / $2,920.98	Professional		$1,802.82	$2,594.35	$2,920.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.02 / $2,288.61 / $3,203.54	Facility		$1,490.02	$2,288.61	$3,203.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.39 / $2,156.29 / $2,336.96	Facility		$1,568.39	$2,156.29	$2,336.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,490.02 / $2,483.12 / $3,160.00	Facility		$1,490.02	$2,483.12	$3,160.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $370.65 / $370.65 / $370.65	Facility	AS	$370.65	$370.65	$370.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,912.75 / $5,912.75 / $5,912.75	Facility		$5,912.75	$5,912.75	$5,912.75
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