Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $7,943.28 / $7,943.28	Facility		$257.04	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $257.04	Professional		$177.83	$229.09	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $851.14	Professional		$524.81	$707.95	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $7,943.28	Facility		$257.04	$354.81	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $380.19	Professional		$173.78	$218.78	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $630.96	Facility		$389.05	$467.74	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $741.31	Facility		$245.47	$323.59	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $501.19	Professional		$79.43	$79.43	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $4,677.35	Facility		$2,754.23	$3,890.45	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $707.95	Professional		$407.38	$524.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $6,025.60	Facility		$3,715.35	$4,570.88	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $707.95	Professional		$269.15	$380.19	$707.95