Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $70.56 / $70.56	Professional		$50.95	$70.56	$70.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $172.34 / $199.82	Professional		$141.13	$172.34	$199.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $88.39 / $151.72	Facility		$70.56	$88.39	$151.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $136.91 / $148.74	Facility		$89.24	$136.91	$148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $100.92 / $151.72	Facility		$70.56	$100.92	$151.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $152.29	Professional		$79.73	$79.73	$152.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.24 / $153.24	Facility		$95.48	$125.24	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $174.96 / $232.88	Professional		$111.55	$174.96	$232.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $108.77 / $217.13	Professional		$79.48	$108.77	$217.13