Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $25.32 / $28.44	Professional		$22.11	$25.32	$28.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $55.69 / $67.53	Professional		$48.05	$55.69	$67.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $34.18 / $61.42	Facility		$25.04	$34.18	$61.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $49.74 / $51.59	Facility		$33.40	$49.74	$51.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $31.28 / $62.16	Facility		$24.44	$31.28	$62.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $52.14 / $54.50	Professional		$32.61	$52.14	$54.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $87.22 / $100.62	Facility		$54.83	$87.22	$100.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $58.32 / $68.22	Professional		$38.99	$58.32	$68.22
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 $36.00 / $50.39 / $74.41	Professional		$36.00	$50.39	$74.41