Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.18 / $358.17 / $397.24	Facility		$345.18	$358.17	$397.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.18 / $434.54 / $988.51	Professional		$345.18	$434.54	$988.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $351.16 / $427.45	Professional		$314.45	$351.16	$427.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $315.57 / $577.08	Facility		$139.75	$315.57	$577.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $454.88 / $454.88	Professional		$454.88	$454.88	$454.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $318.92 / $542.34	Facility		$249.90	$318.92	$542.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.44 / $409.31 / $596.25	Facility		$240.44	$409.31	$596.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.92 / $366.08 / $461.72	Professional		$287.92	$366.08	$461.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $15,640.29 / $20,554.65	Facility		$12,954.82	$15,640.29	$20,554.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $353.17 / $451.96	Professional		$285.48	$353.17	$451.96
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $293.17 / $507.47	Professional		$174.67	$293.17	$507.47