Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $108.20 / $136.65	Professional		$105.76	$108.20	$136.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $51.29 / $134.04	Professional		$40.29	$51.29	$134.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $108.20 / $154.72	Facility		$9.80	$108.20	$154.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $225.95 / $299.92	Facility		$6.91	$225.95	$299.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $108.20 / $232.63	Facility		$9.80	$108.20	$232.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $14.43 / $122.76	Professional		$7.35	$14.43	$122.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $956.99 / $1,243.09	Facility		$713.39	$956.99	$1,243.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $114.89 / $163.61	Professional		$76.89	$114.89	$163.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $123.79 / $281.77	Professional		$82.76	$123.79	$281.77