Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $311.13 / $651.32	Professional		$220.77	$311.13	$651.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $113.45 / $157.94 / $363.24	Professional	52	$113.45	$157.94	$363.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $478.12 / $758.52	Professional		$279.16	$478.12	$758.52
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 / $449.64 / $659.91	Facility		$279.39	$449.64	$659.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.47 / $469.67 / $744.52	Professional		$355.47	$469.67	$744.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.07 / $479.60 / $584.24	Facility		$326.07	$479.60	$584.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.66 / $456.02 / $742.26	Facility		$277.66	$456.02	$742.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.36 / $580.22 / $758.52	Professional		$412.36	$580.22	$758.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.46 / $590.35 / $789.88	Professional		$427.46	$590.35	$789.88
United Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $455.90 / $746.92	Professional		$317.89	$455.90	$746.92