Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $230.76 / $275.82	Professional		$227.34	$230.76	$275.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.34 / $702.87 / $747.14	Professional		$600.34	$702.87	$747.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.82 / $394.42 / $593.01	Facility		$275.82	$394.42	$593.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $493.73 / $1,069.05 / $1,467.69	Facility		$493.73	$1,069.05	$1,467.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.82 / $394.42 / $593.01	Facility		$275.82	$394.42	$593.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $307.58 / $616.03	Professional		$307.58	$307.58	$616.03
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 $484.50 / $736.81 / $850.86	Professional		$484.50	$736.81	$850.86
United Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $219.39 / $930.34	Professional		$207.70	$219.39	$930.34