Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $7,943.28 / $7,943.28	Facility		$288.40	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $323.59	Professional		$165.96	$251.19	$323.59
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 $263.03 / $295.12 / $630.96	Facility		$263.03	$295.12	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $323.59	Professional		$181.97	$251.19	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $512.86	Facility		$354.81	$489.78	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $457.09	Facility		$245.47	$295.12	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $524.81	Professional		$79.43	$79.43	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $691.83	Professional		$436.52	$537.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $724.44	Professional		$346.74	$512.86	$724.44