Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $84.07 / $84.20	Professional		$65.06	$84.07	$84.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $36.27 / $84.94	Professional		$28.50	$36.27	$84.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $84.20 / $120.41	Facility		$9.80	$84.20	$120.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $6.91 / $7.88	Facility		$5.27	$6.91	$7.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $84.20 / $143.33	Facility		$9.80	$84.20	$143.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $14.43 / $95.58	Professional		$7.35	$14.43	$95.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $78.65 / $108.31	Professional		$50.90	$78.65	$108.31
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $76.15 / $155.83	Professional		$35.46	$76.15	$155.83