Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.84 / $1,954.84 / $1,954.84	Facility		$1,954.84	$1,954.84	$1,954.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.11 / $701.53 / $701.53	Professional		$618.11	$701.53	$701.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.87 / $819.28 / $962.07	Professional		$716.87	$819.28	$962.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.53 / $710.27 / $1,080.44	Facility		$502.53	$710.27	$1,080.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.44 / $686.15 / $712.21	Facility		$571.44	$686.15	$712.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.53 / $848.26 / $1,080.44	Facility		$502.53	$848.26	$1,080.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.24 / $489.24 / $844.81	Professional		$489.24	$489.24	$844.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.75 / $1,853.66 / $2,232.77	Facility		$1,518.75	$1,853.66	$2,232.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.62 / $825.42 / $1,017.62	Professional		$676.62	$825.42	$1,017.62
United Facility/Professional Professional Modifier Low / Median / High Price $460.59 / $580.12 / $1,188.38	Professional		$460.59	$580.12	$1,188.38