Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $115.68 / $354.23	Professional		$96.13	$115.68	$354.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.03 / $200.87 / $228.64	Professional		$194.03	$200.87	$228.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $236.61 / $287.48	Professional		$203.48	$236.61	$287.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $125.34 / $216.81	Facility		$75.31	$125.34	$216.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $172.26 / $229.73	Professional		$129.54	$172.26	$229.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $190.61 / $203.32	Facility		$127.64	$190.61	$203.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $125.34 / $216.81	Facility		$75.31	$125.34	$216.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $186.48 / $228.04	Professional		$142.59	$186.48	$228.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $181.64 / $213.66	Facility		$181.64	$181.64	$213.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $166.17 / $272.02	Professional		$138.94	$166.17	$272.02
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $204.25 / $318.10	Professional		$106.83	$204.25	$318.10