Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $214.87 / $744.11	Professional		$96.81	$214.87	$744.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $546.15 / $654.49	Professional		$245.26	$546.15	$654.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.39 / $257.89 / $307.26	Facility		$84.39	$257.89	$307.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $251.86 / $273.37	Professional		$245.01	$251.86	$273.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.11 / $251.86 / $335.27	Facility		$232.11	$251.86	$335.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $10.48 / $307.26	Facility		$5.64	$10.48	$307.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $119.00 / $283.69	Professional		$5.64	$119.00	$283.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $364.49 / $697.39 / $1,004.90	Facility		$364.49	$697.39	$1,004.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $206.32	Professional		$196.00	$196.00	$206.32
United Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $368.40 / $659.62	Professional		$151.12	$368.40	$659.62