Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $67.66 / $156.34	Professional		$56.24	$67.66	$156.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $192.46 / $212.13	Professional		$157.66	$192.46	$212.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $82.49 / $163.10	Facility		$75.86	$82.49	$163.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $72.41 / $79.83	Facility		$47.90	$72.41	$79.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.01 / $163.10	Facility		$75.86	$95.01	$163.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $91.46 / $161.90	Professional		$74.23	$91.46	$161.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $119.60 / $152.37	Facility		$93.54	$119.60	$152.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $174.17 / $231.83	Professional		$113.17	$174.17	$231.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $118.08 / $244.37	Professional		$85.28	$118.08	$244.37