Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $316.23	Professional		$147.91	$186.21	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $446.68	Professional		$281.84	$363.08	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $371.54	Facility		$165.96	$208.93	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $489.78	Professional		$288.40	$363.08	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $380.19	Facility		$309.03	$363.08	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $389.05	Facility		$165.96	$229.09	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $512.86	Professional		$162.18	$389.05	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $512.86	Professional		$281.84	$380.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $524.81	Professional		$213.80	$354.81	$524.81