Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.49 / $5,116.62 / $13,349.54	Facility		$218.49	$5,116.62	$13,349.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $376.39 / $446.40	Professional		$190.86	$376.39	$446.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.38 / $455.90 / $547.45	Professional		$391.38	$455.90	$547.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $252.90 / $468.95	Facility		$219.11	$252.90	$468.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.31 / $178.94 / $221.82	Facility		$126.31	$178.94	$221.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $241.41 / $468.95	Facility		$219.11	$241.41	$468.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $410.51 / $446.30	Professional		$252.62	$410.51	$446.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.82 / $483.84 / $586.96	Professional		$323.82	$483.84	$586.96
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $364.94 / $675.76	Professional		$265.27	$364.94	$675.76