Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,943.28 / $7,943.28	Facility		$776.25	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $562.34 / $776.25	Professional		$239.88	$562.34	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $645.65	Professional		$407.38	$524.81	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $1,698.24	Facility		$316.23	$776.25	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $630.96 / $851.14	Professional		$245.47	$630.96	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,951.21 / $4,466.84	Facility		$416.87	$2,951.21	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $1,122.02	Facility		$302.00	$524.81	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $512.86	Professional		$79.43	$79.43	$512.86
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 $426.58 / $660.69 / $1,288.25	Professional		$426.58	$660.69	$1,288.25
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 $630.96 / $1,202.26 / $1,778.28	Professional		$630.96	$1,202.26	$1,778.28