Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.56 / $871.56 / $1,520.85	Facility		$871.56	$871.56	$1,520.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.73 / $297.18 / $297.18	Professional		$251.73	$297.18	$297.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $767.74 / $920.01	Professional		$349.62	$767.74	$920.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $339.13 / $769.16	Facility		$262.22	$339.13	$769.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $391.57 / $611.84	Facility		$349.62	$391.57	$611.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.13 / $442.27 / $769.16	Facility		$339.13	$442.27	$769.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.58 / $384.58 / $496.64	Professional		$384.58	$384.58	$496.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $699.24 / $1,063.89 / $1,372.57	Facility		$699.24	$1,063.89	$1,372.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.83 / $687.31 / $1,099.91	Professional		$558.83	$687.31	$1,099.91
United Facility/Professional Facility Modifier Low / Median / High Price $524.42 / $524.42 / $559.39	Facility		$524.42	$524.42	$559.39
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $349.62	Professional		$146.84	$146.84	$349.62