Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.83 / $1,848.83 / $3,226.13	Facility		$1,848.83	$1,848.83	$3,226.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.98 / $630.39 / $630.39	Professional		$533.98	$630.39	$630.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $1,628.52 / $1,951.51	Professional		$741.64	$1,628.52	$1,951.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.23 / $719.39 / $1,631.61	Facility		$556.23	$719.39	$1,631.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $830.64 / $1,297.86	Facility		$741.64	$830.64	$1,297.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.39 / $938.17 / $1,631.61	Facility		$719.39	$938.17	$1,631.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $815.80 / $815.80 / $1,053.50	Professional		$815.80	$815.80	$1,053.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,446.20 / $2,256.81 / $2,911.46	Facility		$1,446.20	$2,256.81	$2,911.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,185.33 / $1,396.34 / $2,333.04	Professional		$1,185.33	$1,396.34	$2,333.04
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $311.49 / $889.97	Professional		$311.49	$311.49	$889.97