Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $426.58	Professional		$269.15	$354.81	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $1,023.29	Professional		$288.40	$309.03	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $630.96	Professional		$269.15	$426.58	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Facility		$575.44	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $588.84	Facility		$281.84	$407.38	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $741.31	Professional		$79.43	$309.03	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $588.84	Professional		$562.34	$575.44	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,047.13	Professional		$363.08	$724.44	$1,047.13