Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $216.79 / $698.00	Professional		$166.28	$216.79	$698.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $348.48 / $526.77	Professional		$198.77	$348.48	$526.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $426.88 / $513.01	Professional		$328.51	$426.88	$513.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $313.95 / $474.13	Facility		$199.15	$313.95	$474.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.91 / $334.34 / $511.34	Professional		$275.91	$334.34	$511.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.97 / $349.07 / $403.34	Facility		$250.97	$349.07	$403.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $315.75 / $511.43	Facility		$195.78	$315.75	$511.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $407.75 / $528.69	Professional		$301.20	$407.75	$528.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $426.14 / $542.70	Professional		$323.02	$426.14	$542.70
United Facility/Professional Professional Modifier Low / Median / High Price $240.58 / $350.41 / $536.08	Professional		$240.58	$350.41	$536.08