Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $84.68 / $95.42	Professional		$73.97	$84.68	$95.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $179.46 / $226.03	Professional		$160.85	$179.46	$226.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $114.50 / $205.84	Facility		$84.00	$114.50	$205.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $166.49 / $170.18	Facility		$111.67	$166.49	$170.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.04 / $104.96 / $208.32	Facility		$82.04	$104.96	$208.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $174.24 / $183.19	Professional		$109.63	$174.24	$183.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.51 / $291.89 / $334.15	Facility		$183.51	$291.89	$334.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $195.80 / $229.30	Professional		$131.04	$195.80	$229.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $31,303.00	Facility		$2,364.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $166.30 / $249.11	Professional		$115.68	$166.30	$249.11