Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.84	Professional		$16.98	$23.99	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $67.61	Professional		$44.67	$53.70	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $48.98	Facility		$21.88	$28.18	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $28.18	Professional		$19.05	$22.91	$28.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $51.29	Facility		$35.48	$50.12	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $29.51 / $50.12	Facility		$21.38	$29.51	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $79.43	Professional		$47.86	$52.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $79.43 / $100.00	Facility		$38.02	$79.43	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $67.61	Professional		$40.74	$51.29	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $69.18	Professional		$29.51	$47.86	$69.18