Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.65 / $823.02 / $914.51	Facility		$756.65	$823.02	$914.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.02 / $1,174.51 / $1,985.43	Professional		$823.02	$1,174.51	$1,985.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.01 / $831.85 / $946.95	Professional		$594.01	$831.85	$946.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.69 / $776.15 / $1,157.00	Facility		$497.69	$776.15	$1,157.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $863.03 / $863.03 / $863.03	Professional		$863.03	$863.03	$863.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $583.82 / $723.63 / $807.35	Facility		$583.82	$723.63	$807.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.74 / $976.08 / $1,157.00	Facility		$360.74	$976.08	$1,157.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.64 / $927.47 / $1,186.76	Professional		$718.64	$927.47	$1,186.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,136.52 / $2,136.52 / $2,136.52	Facility		$2,136.52	$2,136.52	$2,136.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $928.85 / $1,223.54	Professional		$706.06	$928.85	$1,223.54
United Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $877.68 / $1,221.36	Professional		$598.00	$877.68	$1,221.36