Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.41 / $792.41 / $880.39	Facility		$792.41	$792.41	$880.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.41 / $1,924.17 / $1,924.17	Professional		$792.41	$1,924.17	$1,924.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.72 / $808.53 / $920.41	Professional		$571.72	$808.53	$920.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.64 / $719.55 / $1,039.61	Facility		$463.64	$719.55	$1,039.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $818.31 / $818.31 / $818.31	Professional		$818.31	$818.31	$818.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $531.98 / $696.47 / $750.72	Facility		$531.98	$696.47	$750.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.63 / $893.08 / $1,039.61	Facility		$350.63	$893.08	$1,039.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.91 / $876.00 / $1,127.84	Professional		$686.91	$876.00	$1,127.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,014.10 / $2,014.10 / $2,014.10	Facility		$2,014.10	$2,014.10	$2,014.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $693.33 / $885.96 / $1,167.05	Professional		$693.33	$885.96	$1,167.05
United Facility/Professional Professional Modifier Low / Median / High Price $557.42 / $818.63 / $1,164.95	Professional		$557.42	$818.63	$1,164.95