Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $186.30 / $242.25	Professional		$149.44	$186.30	$242.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.62 / $328.62 / $396.78	Professional		$328.62	$328.62	$396.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $112.34 / $396.89	Professional		$98.29	$112.34	$396.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $276.42 / $367.92	Facility		$117.07	$276.42	$367.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.45 / $315.60 / $346.18	Professional		$239.45	$315.60	$346.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.46 / $283.41 / $347.73	Facility		$232.46	$283.41	$347.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $263.26 / $367.92	Facility		$117.07	$263.26	$367.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $321.64 / $398.87	Professional		$235.56	$321.64	$398.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $248.63 / $386.67	Professional		$236.20	$248.63	$386.67
United Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $338.41 / $527.36	Professional		$185.86	$338.41	$527.36