Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.38	Professional		$1.00	$1.00	$1.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.87 / $1.55	Facility		$0.81	$0.87	$1.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $154.88 / $154.88	Facility		$60.26	$154.88	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.87 / $1.58	Facility		$0.81	$0.87	$1.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Facility		$199.53	$269.15	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $269.15	Facility		$165.96	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $147.91	Professional		$134.90	$134.90	$147.91