Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,261.02 / $2,261.02 / $2,261.02	Facility		$2,261.02	$2,261.02	$2,261.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.41 / $581.24 / $581.24	Professional		$477.41	$581.24	$581.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.59 / $1,129.94 / $1,189.97	Professional		$460.59	$1,129.94	$1,189.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $831.17 / $1,249.67	Facility		$400.64	$831.17	$1,249.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.30 / $898.50 / $975.52	Facility		$585.30	$898.50	$975.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.14 / $485.88 / $639.36	Facility		$370.14	$485.88	$639.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.68 / $670.22 / $998.82	Professional		$407.68	$670.22	$998.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,097.36 / $1,598.73 / $2,014.63	Facility		$1,097.36	$1,598.73	$2,014.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $788.97 / $1,194.65	Professional		$398.16	$788.97	$1,194.65
United Facility/Professional Professional Modifier Low / Median / High Price $444.71 / $446.64 / $1,490.93	Professional		$444.71	$446.64	$1,490.93