Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $239.27 / $319.02	Professional		$187.40	$239.27	$319.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.70 / $394.70 / $482.79	Professional		$394.70	$394.70	$482.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $159.25 / $561.04	Professional		$139.34	$159.25	$561.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $334.97 / $439.46	Facility		$140.80	$334.97	$439.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $376.80 / $484.40	Professional		$321.30	$376.80	$484.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.56 / $393.61 / $420.92	Facility		$301.56	$393.61	$420.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $319.02 / $439.46	Facility		$140.80	$319.02	$439.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $387.50 / $505.60	Professional		$285.39	$387.50	$505.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $332.34 / $349.83 / $544.05	Professional		$332.34	$349.83	$544.05
United Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $432.63 / $648.05	Professional		$226.28	$432.63	$648.05