Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $59.85 / $902.67	Facility		$54.44	$59.85	$902.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $57.50 / $821.22	Professional		$42.89	$57.50	$821.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $299.69 / $642.67	Facility		$30.91	$299.69	$642.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $634.35 / $724.27	Facility		$40.70	$634.35	$724.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $415.91 / $943.91	Facility		$30.91	$415.91	$943.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
United Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45