Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $133.97 / $213.70	Professional		$124.73	$133.97	$213.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $157.00 / $178.95	Professional		$134.22	$157.00	$178.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.57 / $83.84 / $167.45	Facility		$56.57	$83.84	$167.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $143.49 / $144.72	Facility		$118.80	$143.49	$144.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $97.01 / $198.64	Facility		$54.82	$97.01	$198.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.68	Professional		$45.00	$45.00	$94.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $135.50 / $195.83	Professional		$82.68	$135.50	$195.83
United Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $120.00 / $206.72	Professional		$82.00	$120.00	$206.72