Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $467.01 / $569.12	Professional		$42.27	$467.01	$569.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $397.32 / $397.32	Professional		$397.32	$397.32	$397.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $186.08 / $214.38	Professional		$163.41	$186.08	$214.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $472.68 / $766.20	Facility		$42.27	$472.68	$766.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.99 / $168.48 / $595.63	Facility		$112.99	$168.48	$595.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $559.27 / $862.39	Facility		$42.27	$559.27	$862.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.30 / $176.30 / $829.90	Professional		$176.30	$176.30	$829.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $493.33 / $1,149.32	Professional		$134.28	$493.33	$1,149.32
United Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $84.96 / $1,047.42	Professional		$54.72	$84.96	$1,047.42