Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $134.87	Facility		$114.80	$114.80	$134.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $282.72 / $282.72	Professional		$114.80	$282.72	$282.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $128.41 / $152.07	Professional		$88.28	$128.41	$152.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $111.11 / $310.35	Facility		$70.81	$111.11	$310.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.38 / $251.38 / $251.38	Professional		$251.38	$251.38	$251.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $107.54 / $243.66	Facility		$87.21	$107.54	$243.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $152.26 / $310.35	Facility		$57.93	$152.26	$310.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $124.62 / $157.21	Professional		$95.20	$124.62	$157.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,077.02 / $1,312.13	Facility		$872.64	$1,077.02	$1,312.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $130.82 / $174.13	Professional		$100.04	$130.82	$174.13
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $123.12 / $175.37	Professional		$78.53	$123.12	$175.37