Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $85.11	Professional		$51.29	$69.18	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $213.80	Professional		$134.90	$177.83	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $162.18	Facility		$75.86	$100.00	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $120.23	Professional		$51.29	$66.07	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $79.43	Facility		$60.26	$72.44	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $144.54	Facility		$75.86	$93.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $162.18	Professional		$79.43	$79.43	$162.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $151.36	Facility		$95.50	$128.82	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $223.87	Professional		$112.20	$173.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $7,585.78 / $31,622.78	Facility		$162.18	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87