Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $186.21	Professional		$120.23	$158.49	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $426.58	Professional		$257.04	$338.84	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $380.19	Facility		$177.83	$199.53	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $186.21	Professional		$120.23	$144.54	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $316.23	Facility		$218.78	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $331.13	Facility		$169.82	$190.55	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $323.59	Professional		$79.43	$79.43	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $489.78	Professional		$257.04	$389.05	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $436.52	Professional		$218.78	$316.23	$436.52