Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $177.31 / $177.31	Professional		$147.60	$177.31	$177.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.10 / $366.32 / $424.52	Professional		$300.10	$366.32	$424.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.31 / $222.08 / $383.46	Facility		$177.31	$222.08	$383.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.74 / $291.36 / $316.24	Facility		$189.74	$291.36	$316.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.31 / $253.55 / $383.46	Facility		$177.31	$253.55	$383.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $202.94 / $323.79	Professional		$202.94	$202.94	$323.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.59 / $387.28 / $495.13	Professional		$242.59	$387.28	$495.13
United Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $327.04 / $476.61	Professional		$232.96	$327.04	$476.61