Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $145.44 / $145.44	Facility		$145.44	$145.44	$145.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $40.76 / $45.99	Professional		$36.19	$40.76	$45.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.68 / $1,037.81 / $3,069.69	Professional		$873.68	$1,037.81	$3,069.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $39.26 / $808.48	Facility		$29.97	$39.26	$808.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.01 / $786.35 / $986.91	Facility		$356.01	$786.35	$986.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $80.39 / $668.69	Facility		$37.39	$80.39	$668.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $136.50 / $691.72	Professional		$41.22	$136.50	$691.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $2,805.78 / $3,950.94	Facility		$69.34	$2,805.78	$3,950.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $86.20 / $2,781.50	Professional		$54.15	$86.20	$2,781.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,889.26 / $2,889.26 / $3,569.87	Facility		$2,889.26	$2,889.26	$3,569.87
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $63.34 / $137.07	Professional		$33.20	$63.34	$137.07