Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.42 / $895.80 / $968.17	Facility		$396.42	$895.80	$968.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $239.33 / $814.00	Professional		$162.27	$239.33	$814.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $407.10 / $517.41	Professional		$268.61	$407.10	$517.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $446.02 / $503.31	Professional		$371.58	$446.02	$503.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.33 / $381.29 / $514.55	Facility		$239.33	$381.29	$514.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.24 / $335.94 / $616.41	Professional		$267.24	$335.94	$616.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $353.09 / $381.90	Facility		$255.33	$353.09	$381.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.24 / $474.45 / $619.44	Facility		$342.24	$474.45	$619.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $420.42 / $552.90	Professional		$301.83	$420.42	$552.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.55 / $442.60 / $539.13	Professional		$340.55	$442.60	$539.13
United Facility/Professional Professional Modifier Low / Median / High Price $234.46 / $245.41 / $631.60	Professional		$234.46	$245.41	$631.60