Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $95.93 / $776.00	Professional		$78.09	$95.93	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $159.50 / $223.80	Professional		$84.76	$159.50	$223.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $180.21 / $216.57	Professional		$154.78	$180.21	$216.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $131.79 / $208.25	Facility		$84.97	$131.79	$208.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $150.66 / $224.45	Professional		$120.31	$150.66	$224.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $162.97 / $170.18	Facility		$117.25	$162.97	$170.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $132.74 / $216.24	Facility		$83.32	$132.74	$216.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $175.68 / $225.52	Professional		$128.55	$175.68	$225.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,161.24 / $1,366.16 / $1,497.00	Facility		$1,161.24	$1,366.16	$1,497.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $182.27 / $234.00	Professional		$150.04	$182.27	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $161.86 / $241.68	Professional		$110.76	$161.86	$241.68