Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $2,884.03	Facility		$575.44	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $630.96	Professional		$457.09	$537.03	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,047.13 / $1,202.26	Professional		$478.63	$1,047.13	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,884.03	Facility		$831.76	$1,258.93	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $630.96	Professional		$346.74	$537.03	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $977.24	Facility		$676.08	$954.99	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $831.76	Facility		$575.44	$575.44	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $1,000.00	Professional		$79.43	$79.43	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,584.89 / $1,995.26	Facility		$724.44	$1,584.89	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,202.26	Professional		$524.81	$891.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,318.26	Professional		$446.68	$446.68	$1,318.26