Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.97 / $456.33 / $541.51	Professional		$396.97	$456.33	$541.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $272.45 / $406.60	Professional		$229.42	$272.45	$406.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.49 / $285.00 / $797.65	Facility		$105.49	$285.00	$797.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $50.96 / $63.11	Facility		$37.51	$50.96	$63.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $371.00 / $893.08	Facility		$79.81	$371.00	$893.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $88.36 / $190.71	Professional		$75.73	$88.36	$190.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $335.73 / $630.66	Professional		$230.68	$335.73	$630.66
United Facility/Professional Professional Modifier Low / Median / High Price $236.15 / $331.25 / $957.12	Professional		$236.15	$331.25	$957.12