Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $191.72 / $286.11	Professional		$162.06	$191.72	$286.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.38 / $398.09 / $482.80	Professional		$338.38	$398.09	$482.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.30 / $255.08 / $481.10	Facility		$178.30	$255.08	$481.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $349.68 / $554.04	Professional		$301.01	$349.68	$554.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.11 / $367.16 / $377.88	Facility		$262.11	$367.16	$377.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $293.58 / $479.68	Facility		$181.97	$293.58	$479.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $397.34 / $514.16	Professional		$191.25	$397.34	$514.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $437.95 / $529.65	Professional		$302.70	$437.95	$529.65
United Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $378.12 / $566.41	Professional		$268.52	$378.12	$566.41