Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $9,549.93 / $17,378.01	Facility		$549.54	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $691.83	Professional		$346.74	$501.19	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,071.52	Professional		$588.84	$794.33	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $7,943.28	Facility		$416.87	$575.44	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $724.44	Professional		$338.84	$537.03	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $912.01	Facility		$562.34	$776.25	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $794.33	Facility		$380.19	$549.54	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $933.25	Professional		$79.43	$79.43	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $707.95 / $1,778.28	Facility		$169.82	$707.95	$1,778.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,348.96	Professional		$676.08	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,513.56	Professional		$741.31	$1,096.48	$1,513.56