Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $196.17 / $483.20	Professional		$101.16	$196.17	$483.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.37 / $364.99 / $437.89	Professional		$313.37	$364.99	$437.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $205.98 / $395.91	Facility		$156.60	$205.98	$395.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Professional		$132.63	$132.63	$132.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $99.97 / $150.34	Facility		$65.16	$99.97	$150.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $196.17 / $395.91	Facility		$156.60	$196.17	$395.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $205.90 / $318.72	Professional		$126.71	$205.90	$318.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.25 / $402.12 / $485.12	Professional		$277.25	$402.12	$485.12
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $333.88 / $504.22	Professional		$238.16	$333.88	$504.22