Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.42 / $1,746.42 / $3,047.44	Facility		$1,746.42	$1,746.42	$3,047.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.40 / $595.48 / $595.48	Professional		$504.40	$595.48	$595.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,538.34 / $1,843.43	Professional		$700.56	$1,538.34	$1,843.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $525.41 / $679.54 / $1,541.23	Facility		$525.41	$679.54	$1,541.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $784.63 / $1,225.98	Facility		$700.56	$784.63	$1,225.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.54 / $886.21 / $1,541.23	Facility		$679.54	$886.21	$1,541.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.62 / $770.62 / $1,008.81	Professional		$770.62	$770.62	$1,008.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,366.09 / $2,131.80 / $2,750.19	Facility		$1,366.09	$2,131.80	$2,750.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,119.28 / $1,319.46 / $2,203.01	Professional		$1,119.28	$1,319.46	$2,203.01
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $735.59	Professional		$294.24	$294.24	$735.59