Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.23 / $754.23 / $754.23	Facility		$754.23	$754.23	$754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $211.34 / $238.49	Professional		$189.84	$211.34	$238.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.50 / $1,174.11 / $3,363.07	Professional		$988.50	$1,174.11	$3,363.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $203.58 / $914.50	Facility		$155.61	$203.58	$914.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.22 / $380.64 / $1,230.79	Facility		$309.22	$380.64	$1,230.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.89 / $415.83 / $693.16	Facility		$193.89	$415.83	$693.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $715.50 / $738.12	Professional		$216.08	$715.50	$738.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $360.27 / $577.75 / $661.37	Facility		$360.27	$577.75	$661.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $431.06 / $3,047.34	Professional		$258.83	$431.06	$3,047.34
United Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $334.59 / $712.23	Professional		$172.51	$334.59	$712.23