Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $206.32 / $246.61	Professional		$203.28	$206.32	$246.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $408.60 / $434.34	Professional		$349.00	$408.60	$434.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.61 / $287.32 / $530.21	Facility		$246.61	$287.32	$530.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $286.55 / $1,069.05 / $1,467.69	Facility		$286.55	$1,069.05	$1,467.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.61 / $287.32 / $530.21	Facility		$246.61	$287.32	$530.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $274.97 / $358.09	Professional		$274.97	$274.97	$358.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,585.79 / $4,751.63 / $5,493.75	Facility		$3,585.79	$4,751.63	$5,493.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.54 / $427.48 / $494.60	Professional		$297.54	$427.48	$494.60
United Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $291.83 / $579.41	Professional		$185.71	$291.83	$579.41