Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $446.68	Facility		$323.59	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $446.68	Professional		$251.19	$323.59	$446.68
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 $295.12 / $323.59 / $616.60	Facility		$295.12	$323.59	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $323.59	Professional		$251.19	$323.59	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $426.58 / $426.58	Facility		$165.96	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $602.56	Facility		$295.12	$323.59	$602.56
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 $524.81 / $660.69 / $812.83	Facility		$524.81	$660.69	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $549.54 / $724.44	Facility		$446.68	$549.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87