Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $122.91 / $172.75	Professional		$87.72	$122.91	$172.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $188.12 / $309.49	Professional		$105.52	$188.12	$309.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $204.18 / $275.18	Professional		$126.01	$204.18	$275.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.88 / $157.36 / $264.26	Facility		$100.88	$157.36	$264.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $191.76 / $275.26	Professional		$146.24	$191.76	$275.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $222.11 / $253.93	Facility		$130.86	$222.11	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $165.80 / $321.79	Facility		$104.47	$165.80	$321.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $228.64 / $296.99	Professional		$164.89	$228.64	$296.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $237.44 / $328.13	Professional		$167.10	$237.44	$328.13
United Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $213.57 / $325.18	Professional		$137.55	$213.57	$325.18