Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $112.22 / $438.54	Professional		$79.06	$112.22	$438.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.39 / $299.27 / $369.60	Professional		$216.39	$299.27	$369.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $151.99 / $254.15	Facility		$112.22	$151.99	$254.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $144.38 / $159.59	Professional		$118.99	$144.38	$159.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $151.99 / $167.19	Facility		$136.79	$151.99	$167.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $144.66 / $254.15	Facility		$112.22	$144.66	$254.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $133.09 / $163.27	Professional		$62.01	$133.09	$163.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $167.19 / $167.19	Professional		$158.83	$167.19	$167.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $64.45 / $122.97	Professional		$61.58	$64.45	$122.97