Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $48.98	Professional		$32.36	$40.74	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $112.20	Professional		$67.61	$89.13	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $102.33	Facility		$46.77	$53.70	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $48.98	Professional		$32.36	$38.02	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $83.18 / $85.11	Facility		$57.54	$83.18	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $102.33	Facility		$44.67	$50.12	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $158.49	Facility		$95.50	$128.82	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $131.83	Professional		$67.61	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $181.97	Facility		$112.20	$141.25	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $117.49	Professional		$58.88	$83.18	$117.49