Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $47.20 / $47.20	Professional		$39.26	$47.20	$47.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $97.72 / $113.19	Professional		$80.00	$97.72	$113.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $59.12 / $102.09	Facility		$47.20	$59.12	$102.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $77.62 / $84.42	Facility		$50.65	$77.62	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $67.50 / $104.55	Facility		$47.20	$67.50	$104.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $53.91 / $86.44	Professional		$53.91	$53.91	$86.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.30 / $157.12	Facility		$95.48	$125.30	$157.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $103.38 / $132.16	Professional		$64.44	$103.38	$132.16
United Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $85.68 / $126.62	Professional		$61.88	$85.68	$126.62