Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $183.17 / $257.06	Professional		$148.68	$183.17	$257.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.47 / $319.47 / $389.87	Professional		$319.47	$319.47	$389.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $146.13 / $515.16	Professional		$127.86	$146.13	$515.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $269.91 / $356.97	Facility		$113.97	$269.91	$356.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.10 / $315.89 / $444.78	Professional		$260.10	$315.89	$444.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.70 / $329.12 / $369.84	Facility		$243.70	$329.12	$369.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $257.06 / $356.97	Facility		$113.97	$257.06	$356.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $331.20 / $409.60	Professional		$232.39	$331.20	$409.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $305.66 / $500.39	Professional		$296.95	$305.66	$500.39
United Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $354.19 / $545.66	Professional		$182.61	$354.19	$545.66