Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,706.13 / $3,412.10 / $7,920.26	Facility		$2,706.13	$3,412.10	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,196.41 / $3,155.62 / $3,552.91	Professional		$2,196.41	$3,155.62	$3,552.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,822.72 / $2,816.10 / $3,918.85	Facility		$1,822.72	$2,816.10	$3,918.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,009.22 / $2,675.63 / $2,905.12	Facility		$2,009.22	$2,675.63	$2,905.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,822.72 / $3,037.56 / $3,901.40	Facility		$1,822.72	$3,037.56	$3,901.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $456.05 / $456.05 / $456.05	Facility	AS	$456.05	$456.05	$456.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,348.36 / $7,348.36 / $7,348.36	Facility		$7,348.36	$7,348.36	$7,348.36
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