Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $173.49 / $645.05	Professional		$124.46	$173.49	$645.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $277.87 / $356.97	Professional		$176.10	$277.87	$356.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $278.70 / $313.77	Professional		$195.52	$278.70	$313.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.27 / $217.75 / $386.19	Professional		$194.27	$217.75	$386.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $17.84 / $30.27	Professional		$16.05	$17.84	$30.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.07 / $281.50 / $357.11	Professional		$213.07	$281.50	$357.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $297.83 / $380.79	Professional		$222.02	$297.83	$380.79
United Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $259.20 / $384.06	Professional		$183.74	$259.20	$384.06