Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,943.28 / $7,943.28	Facility		$954.99	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $575.44 / $954.99	Professional		$173.78	$575.44	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,621.81	Professional		$724.44	$1,071.52	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $2,398.83	Facility		$741.31	$954.99	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $575.44 / $2,398.83	Professional		$173.78	$575.44	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,071.52	Facility		$537.03	$794.33	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $954.99 / $1,380.38	Facility		$549.54	$954.99	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $1,288.25	Professional		$70.79	$79.43	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,995.26	Professional		$1,071.52	$1,548.82	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,949.84	Professional		$776.25	$1,318.26	$1,949.84