Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.33 / $896.33 / $896.33	Facility		$896.33	$896.33	$896.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $230.42 / $230.42	Professional		$189.21	$230.42	$230.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $447.78 / $471.57	Professional		$182.53	$447.78	$471.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $329.50 / $495.40	Facility		$158.50	$329.50	$495.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $356.08 / $387.26	Facility		$226.85	$356.08	$387.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $192.42 / $253.46	Facility		$146.72	$192.42	$253.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $265.42 / $395.82	Professional		$161.28	$265.42	$395.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $434.87 / $633.13 / $798.64	Facility		$434.87	$633.13	$798.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $312.45 / $474.25	Professional		$157.79	$312.45	$474.25
United Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $177.00 / $536.61	Professional		$176.24	$177.00	$536.61