Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $131.93 / $185.40	Professional		$105.82	$131.93	$185.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $229.77 / $280.61	Professional		$229.77	$229.77	$280.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $100.78 / $354.91	Professional		$88.18	$100.78	$354.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $192.57 / $256.95	Facility		$81.33	$192.57	$256.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $220.80 / $306.48	Professional		$185.60	$220.80	$306.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $232.32 / $253.93	Facility		$156.80	$232.32	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $185.40 / $256.95	Facility		$81.33	$185.40	$256.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $236.88 / $296.00	Professional		$167.61	$236.88	$296.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $214.60 / $342.99	Professional		$209.52	$214.60	$342.99
United Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $254.11 / $391.47	Professional		$131.01	$254.11	$391.47