Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $278.88 / $1,017.48	Professional		$125.74	$278.88	$1,017.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $435.20 / $577.24	Professional		$315.68	$435.20	$577.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $426.82 / $455.19	Professional		$190.82	$426.82	$455.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $314.16 / $561.05	Professional		$304.50	$314.16	$561.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $316.77 / $471.31	Professional		$316.77	$316.77	$471.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $436.02 / $510.09	Professional		$301.41	$436.02	$510.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.24 / $451.28 / $519.23	Professional		$345.24	$451.28	$519.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $211.02 / $583.01	Professional		$169.02	$211.02	$583.01