Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $134.02 / $279.79	Professional		$116.51	$134.02	$279.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $227.95 / $316.76	Professional		$126.98	$227.95	$316.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $252.49 / $305.44	Professional		$195.59	$252.49	$305.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $189.94 / $299.20	Facility		$121.18	$189.94	$299.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $217.62 / $310.72	Professional		$182.58	$217.62	$310.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $234.50 / $242.54	Facility		$169.58	$234.50	$242.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $197.38 / $309.77	Facility		$120.02	$197.38	$309.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $252.94 / $326.16	Professional		$191.48	$252.94	$326.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $262.06 / $339.49	Professional		$217.00	$262.06	$339.49
United Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $238.39 / $365.90	Professional		$162.84	$238.39	$365.90