Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $170.56 / $386.00	Professional		$120.17	$170.56	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.17 / $455.28 / $562.27	Professional		$329.17	$455.28	$562.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $231.02 / $436.59	Facility		$170.56	$231.02	$436.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $219.47 / $242.57	Professional		$180.86	$219.47	$242.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.92 / $231.02 / $254.12	Facility		$207.92	$231.02	$254.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $183.53 / $183.53	Professional		$183.53	$183.53	$183.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $231.02 / $423.57	Facility		$170.56	$231.02	$423.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $202.29 / $248.17	Professional		$94.26	$202.29	$248.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.41 / $254.12 / $254.12	Professional		$241.41	$254.12	$254.12
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $97.97 / $186.91	Professional		$93.60	$97.97	$186.91