Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.70 / $492.07 / $3,355.66	Facility		$411.70	$492.07	$3,355.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.07 / $1,083.45 / $10,435.50	Professional		$492.07	$1,083.45	$10,435.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $555.50 / $2,979.99	Professional		$378.09	$555.50	$2,979.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $1,130.60 / $6,264.01	Facility		$272.18	$1,130.60	$6,264.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $445.49 / $445.49	Professional		$445.49	$445.49	$445.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $2,498.42 / $4,836.06	Facility		$389.73	$2,498.42	$4,836.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $2,379.44 / $6,426.54	Facility		$272.18	$2,379.44	$6,426.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.54 / $1,807.92 / $4,012.80	Professional		$408.54	$1,807.92	$4,012.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $708.60 / $3,638.40	Professional		$398.15	$708.60	$3,638.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,886.39 / $3,773.68 / $5,319.36	Professional		$2,886.39	$3,773.68	$5,319.36