Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $2.24	Facility		$1.99	$1.99	$2.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.10 / $2.39	Professional		$1.45	$2.10	$2.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.82 / $28.05	Facility		$1.14	$1.82	$28.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.00 / $21.62	Facility		$1.45	$2.00	$21.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $2.49 / $28.05	Facility		$1.14	$2.49	$28.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,512.07 / $2,009.73 / $2,436.37	Facility		$1,512.07	$2,009.73	$2,436.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00