Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $7,943.28 / $7,943.28	Facility		$190.55	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $190.55	Professional		$83.18	$151.36	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $426.58	Professional		$269.15	$346.74	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $346.74	Facility		$158.49	$194.98	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $204.17	Professional		$83.18	$134.90	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $4,265.80	Facility		$229.09	$331.13	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $316.23	Facility		$162.18	$194.98	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $338.84	Professional		$79.43	$79.43	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $17,378.01	Facility		$10,715.19	$14,454.40	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $446.68	Professional		$269.15	$346.74	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $426.58	Professional		$199.53	$302.00	$426.58