Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $257.20 / $557.74	Professional		$119.88	$257.20	$557.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.64 / $379.21 / $562.27	Professional		$295.64	$379.21	$562.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $396.31 / $452.97	Professional		$334.41	$396.31	$452.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $304.64 / $541.10	Professional		$272.20	$304.64	$541.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $124.32 / $195.98	Professional		$116.94	$124.32	$195.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $400.98 / $585.72	Professional		$296.39	$400.98	$585.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.44 / $427.77 / $563.76	Professional		$349.44	$427.77	$563.76
United Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $250.45 / $633.02	Professional		$164.32	$250.45	$633.02