Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,957.53 / $1,957.53 / $1,957.53	Facility		$1,957.53	$1,957.53	$1,957.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.96 / $702.50 / $702.50	Professional		$618.96	$702.50	$702.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.69 / $821.36 / $964.38	Professional		$718.69	$821.36	$964.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.22 / $711.98 / $1,081.92	Facility		$503.22	$711.98	$1,081.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.59 / $687.88 / $715.56	Facility		$573.59	$687.88	$715.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.22 / $849.92 / $1,081.92	Facility		$503.22	$849.92	$1,081.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.05 / $491.05 / $847.08	Professional		$491.05	$491.05	$847.08
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 $678.51 / $829.30 / $1,020.46	Professional		$678.51	$829.30	$1,020.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,758.41 / $1,758.41 / $2,172.63	Facility		$1,758.41	$1,758.41	$2,172.63
United Facility/Professional Professional Modifier Low / Median / High Price $462.40 / $748.25 / $1,195.48	Professional		$462.40	$748.25	$1,195.48