Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $9,549.93 / $17,378.01	Facility		$407.38	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $446.68	Professional		$295.12	$354.81	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $912.01	Professional		$562.34	$741.31	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $13,182.57	Facility		$407.38	$588.84	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $7,079.46	Professional		$295.12	$371.54	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $758.58	Facility		$489.78	$676.08	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $851.14	Facility		$398.11	$426.58	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $724.44	Professional		$79.43	$79.43	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $12,302.69 / $14,791.08	Facility		$8,317.64	$12,302.69	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,096.48	Professional		$588.84	$831.76	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,047.13	Professional		$489.78	$707.95	$1,047.13