Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.17 / $431.13 / $1,502.41	Facility		$358.17	$431.13	$1,502.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.13 / $947.45 / $4,014.43	Professional		$431.13	$947.45	$4,014.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.47 / $488.48 / $1,455.08	Professional		$332.47	$488.48	$1,455.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.67 / $557.42 / $2,119.38	Facility		$236.67	$557.42	$2,119.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.94 / $391.94 / $391.94	Professional		$391.94	$391.94	$391.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.16 / $1,211.40 / $1,652.57	Facility		$367.16	$1,211.40	$1,652.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.67 / $985.76 / $2,219.35	Facility		$236.67	$985.76	$2,219.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.72 / $857.08 / $1,903.44	Professional		$357.72	$857.08	$1,903.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $621.04 / $1,750.98	Professional		$348.95	$621.04	$1,750.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.25 / $1,589.49 / $2,044.82	Professional		$1,126.25	$1,589.49	$2,044.82