Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $41.17 / $65.67	Professional		$38.33	$41.17	$65.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $49.00 / $56.22	Professional		$42.17	$49.00	$56.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $25.98 / $51.46	Facility		$17.73	$25.98	$51.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $42.43 / $44.89	Facility		$36.85	$42.43	$44.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $29.81 / $61.04	Facility		$16.00	$29.81	$61.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $29.45 / $29.45	Professional		$29.45	$29.45	$29.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $42.43 / $60.96	Professional		$25.89	$42.43	$60.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $36.59 / $61.02	Professional		$23.56	$36.59	$61.02