Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.52 / $465.48 / $2,001.27	Facility		$388.52	$465.48	$2,001.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.48 / $1,026.48 / $5,529.09	Professional		$465.48	$1,026.48	$5,529.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.09 / $524.64 / $1,923.01	Professional		$357.09	$524.64	$1,923.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $733.60 / $2,925.68	Facility		$257.20	$733.60	$2,925.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $420.71 / $420.71 / $420.71	Professional		$420.71	$420.71	$420.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $397.98 / $1,617.38 / $2,267.61	Facility		$397.98	$1,617.38	$2,267.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $1,360.78 / $3,018.06	Facility		$257.20	$1,360.78	$3,018.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.78 / $1,150.61 / $2,542.04	Professional		$384.78	$1,150.61	$2,542.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $665.97 / $2,338.42	Professional		$374.20	$665.97	$2,338.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.71 / $2,181.07 / $2,736.92	Professional		$1,540.71	$2,181.07	$2,736.92