Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $311.13 / $647.92	Professional		$222.21	$311.13	$647.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $478.64 / $759.44	Professional		$279.95	$478.64	$759.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.06 / $616.65 / $741.87	Professional		$475.06	$616.65	$741.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $450.19 / $659.91	Facility		$279.39	$450.19	$659.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $483.91 / $754.32	Professional		$355.98	$483.91	$754.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $330.26 / $479.60 / $584.24	Facility		$330.26	$479.60	$584.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.61 / $456.54 / $743.11	Facility		$278.61	$456.54	$743.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $580.22 / $759.44	Professional		$410.24	$580.22	$759.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.27 / $590.35 / $789.88	Professional		$429.27	$590.35	$789.88
United Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $454.26 / $747.78	Professional		$311.88	$454.26	$747.78