Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.96 / $1,769.96 / $3,088.50	Facility		$1,769.96	$1,769.96	$3,088.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $603.50 / $603.50	Professional		$511.20	$603.50	$603.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $1,558.93 / $1,868.12	Professional		$710.00	$1,558.93	$1,868.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.50 / $688.70 / $1,562.00	Facility		$532.50	$688.70	$1,562.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $795.20 / $1,242.50	Facility		$710.00	$795.20	$1,242.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.70 / $898.15 / $1,562.00	Facility		$688.70	$898.15	$1,562.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $781.00 / $1,008.56	Professional		$781.00	$781.00	$1,008.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,384.50 / $2,160.53 / $2,787.25	Facility		$1,384.50	$2,160.53	$2,787.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,134.44 / $1,337.20 / $2,232.85	Professional		$1,134.44	$1,337.20	$2,232.85
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $710.00	Professional		$298.20	$298.20	$710.00