Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $6,606.93 / $7,943.28	Facility		$194.98	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $478.63	Professional		$102.33	$177.83	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $436.52	Professional		$263.03	$346.74	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $426.58	Facility		$151.36	$199.53	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $575.44	Professional		$102.33	$194.98	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $141.25	Facility		$64.57	$95.50	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $309.03	Facility		$128.82	$194.98	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $316.23	Professional		$79.43	$223.87	$316.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $467.74	Professional		$257.04	$338.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $478.63	Professional		$218.78	$323.59	$478.63