Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $137.35 / $253.09	Professional		$74.14	$137.35	$253.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.50 / $505.52 / $624.32	Professional		$365.50	$505.52	$624.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.95 / $244.17 / $444.55	Facility		$194.95	$244.17	$444.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $252.61 / $279.20	Professional		$199.82	$252.61	$279.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $259.67 / $305.79	Facility		$211.06	$259.67	$305.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $265.89 / $292.49	Professional		$211.06	$265.89	$292.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.95 / $253.09 / $444.55	Facility		$194.95	$253.09	$444.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $232.83 / $284.33	Professional		$135.78	$232.83	$284.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.87 / $292.49 / $292.49	Professional		$277.87	$292.49	$292.49
United Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $112.76 / $215.13	Professional		$101.91	$112.76	$215.13