Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.39 / $273.39 / $273.39	Facility		$273.39	$273.39	$273.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $76.61 / $86.44	Professional		$68.73	$76.61	$86.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.57 / $93.13	Professional		$1.33	$1.57	$93.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $70.28 / $151.10	Facility		$1.24	$70.28	$151.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.96 / $103.18	Facility		$0.79	$0.96	$103.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $70.28 / $151.10	Facility		$0.92	$70.28	$151.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $78.37 / $130.96	Professional		$1.82	$78.37	$130.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.40 / $209.55 / $239.88	Facility		$130.40	$209.55	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $98.61 / $162.10	Professional		$71.68	$98.61	$162.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $114.19 / $178.55	Professional		$62.44	$114.19	$178.55