Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $60.11 / $430.72	Professional		$36.36	$60.11	$430.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.72 / $653.39 / $922.55	Professional		$571.72	$653.39	$922.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $68.75 / $425.94	Facility		$36.36	$68.75	$425.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $364.81 / $608.02 / $1,277.02	Facility		$364.81	$608.02	$1,277.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $72.03 / $425.94	Facility		$45.12	$72.03	$425.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $895.92 / $2,036.21	Professional		$65.69	$895.92	$2,036.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.02 / $1,182.64 / $1,767.07	Professional		$210.02	$1,182.64	$1,767.07
United Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $128.24 / $1,403.60	Professional		$89.38	$128.24	$1,403.60