Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $109.91 / $253.90	Professional		$85.79	$109.91	$253.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $94.04	Professional		$94.04	$94.04	$94.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $84.77 / $295.62	Professional		$74.17	$84.77	$295.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $137.96 / $214.84	Facility		$39.86	$137.96	$214.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $187.27 / $255.53	Professional		$158.61	$187.27	$255.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $199.01 / $210.38	Facility		$145.83	$199.01	$210.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $137.96 / $214.84	Facility		$39.86	$137.96	$214.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $199.58 / $216.78	Professional		$138.62	$199.58	$216.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $173.85 / $280.22	Professional		$166.78	$173.85	$280.22
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $208.38 / $325.68	Professional		$119.89	$208.38	$325.68