Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $82.32 / $256.79	Professional		$67.54	$82.32	$256.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $126.42 / $220.21	Facility		$81.56	$126.42	$220.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $102.28 / $102.28	Professional		$102.28	$102.28	$102.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.30 / $413.61 / $422.30	Facility		$314.30	$413.61	$422.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $117.03 / $157.47	Facility		$81.56	$117.03	$157.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,240.78 / $1,459.75 / $1,633.40	Facility		$1,240.78	$1,459.75	$1,633.40
United Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $174.19 / $255.82	Professional		$124.80	$174.19	$255.82