Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $138.43 / $243.63	Professional		$113.26	$138.43	$243.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $274.20 / $332.94	Professional		$218.05	$274.20	$332.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $235.39 / $325.55	Facility		$127.71	$235.39	$325.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $237.60 / $339.74	Professional		$207.62	$237.60	$339.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $254.37 / $264.27	Facility		$185.38	$254.37	$264.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.25 / $273.02 / $331.23	Facility		$135.25	$273.02	$331.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $277.01 / $355.12	Professional		$115.76	$277.01	$355.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.02 / $294.63 / $365.74	Professional		$209.02	$294.63	$365.74
United Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $271.92 / $399.88	Professional		$195.33	$271.92	$399.88