Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $28.36 / $29.49	Professional		$17.71	$28.36	$29.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $53.28 / $63.92	Professional		$45.68	$53.28	$63.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $29.49 / $59.64	Facility		$20.77	$29.49	$59.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $26.16 / $26.16	Professional		$26.16	$26.16	$26.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $20.71 / $23.14	Facility		$14.50	$20.71	$23.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $29.49 / $60.35	Facility		$21.80	$29.49	$60.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $29.77 / $46.22	Professional		$24.92	$29.77	$46.22
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 $30.13 / $49.34 / $69.34	Professional		$30.13	$49.34	$69.34
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 $34.00 / $48.30 / $71.14	Professional		$34.00	$48.30	$71.14