Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $407.38	Facility		$281.84	$281.84	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $426.58	Professional		$281.84	$407.38	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $724.44	Facility		$371.54	$416.87	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $416.87	Professional		$223.87	$407.38	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Facility		$229.09	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $707.95	Facility		$346.74	$416.87	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $1,071.52	Facility		$562.34	$851.14	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $912.01	Facility		$562.34	$691.83	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $173.78	Professional		$95.50	$128.82	$173.78