Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $349.69 / $805.88	Professional		$281.02	$349.69	$805.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $563.74 / $845.85	Professional		$321.83	$563.74	$845.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $680.89 / $819.96	Professional		$525.05	$680.89	$819.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.93 / $502.03 / $761.59	Facility		$321.93	$502.03	$761.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.21 / $535.04 / $799.41	Professional		$443.21	$535.04	$799.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.13 / $562.79 / $648.55	Facility		$410.13	$562.79	$648.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.83 / $511.83 / $822.06	Facility		$316.83	$511.83	$822.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $654.79 / $852.62	Professional		$489.81	$654.79	$852.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $684.97 / $874.70	Professional		$527.29	$684.97	$874.70
United Facility/Professional Professional Modifier Low / Median / High Price $386.86 / $563.46 / $862.01	Professional		$386.86	$563.46	$862.01