Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $537.03	Facility		$354.81	$354.81	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $870.96	Professional		$537.03	$537.03	$870.96
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 $537.03 / $537.03 / $977.24	Facility		$537.03	$537.03	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $870.96	Professional		$537.03	$537.03	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $1,258.93	Facility		$489.78	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,000.00	Facility		$537.03	$537.03	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $446.68	Professional		$79.43	$446.68	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,949.84	Facility		$676.08	$1,071.52	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,041.74	Facility		$1,258.93	$1,548.82	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31