Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $457.09	Professional		$147.91	$223.87	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $588.84	Professional		$316.23	$467.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $457.09	Professional		$199.53	$398.11	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $575.44	Professional		$302.00	$389.05	$575.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $537.03	Professional		$281.84	$407.38	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $467.74	Professional		$346.74	$398.11	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $575.44	Professional		$169.82	$204.17	$575.44