Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.17 / $5,012.80 / $15,341.00	Facility		$1,415.17	$5,012.80	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.36 / $1,918.38 / $2,159.91	Professional		$1,340.36	$1,918.38	$2,159.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $1,645.29 / $2,473.67	Facility		$1,150.55	$1,645.29	$2,473.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,010.23 / $1,560.08 / $1,744.20	Facility		$1,010.23	$1,560.08	$1,744.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.55 / $2,133.92 / $2,473.67	Facility		$1,150.55	$2,133.92	$2,473.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.12 / $280.12 / $280.12	Facility	AS	$280.12	$280.12	$280.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80,087.00 / $101,319.94 / $124,204.26	Facility		$80,087.00	$101,319.94	$124,204.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00