Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $8,128.31 / $10,964.78	Facility		$676.08	$8,128.31	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $758.58	Professional		$389.05	$588.84	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,122.02	Professional		$691.83	$912.01	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $10,964.78	Facility		$512.86	$707.95	$10,964.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $13,489.63	Professional		$389.05	$588.84	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $8,709.64 / $14,454.40	Facility		$380.19	$8,709.64	$14,454.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $977.24	Facility		$426.58	$676.08	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $891.25	Professional		$79.43	$79.43	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $35,481.34 / $44,668.36	Facility		$28,183.83	$35,481.34	$44,668.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,380.38	Professional		$741.31	$1,071.52	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $83,176.38	Facility		$3,311.31	$26,302.68	$83,176.38
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,548.82	Professional		$851.14	$1,148.15	$1,548.82