Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $54.49 / $61.83	Professional		$35.90	$54.49	$61.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $125.34 / $143.26	Professional		$107.47	$125.34	$143.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $59.31 / $109.13	Facility		$46.32	$59.31	$109.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $62.57 / $62.57	Professional		$62.57	$62.57	$62.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $49.44 / $107.87	Facility		$39.54	$49.44	$107.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $59.31 / $122.18	Facility		$47.39	$59.31	$122.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $93.54 / $110.45	Professional		$67.50	$93.54	$110.45
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 $62.21 / $100.95 / $144.90	Professional		$62.21	$100.95	$144.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $106.49 / $154.40	Professional		$72.00	$106.49	$154.40