Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $106.84 / $425.18	Professional		$61.78	$106.84	$425.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $290.26 / $358.47	Professional		$209.87	$290.26	$358.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $147.37 / $315.37	Facility		$108.79	$147.37	$315.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $140.00 / $154.74	Professional		$115.37	$140.00	$154.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $147.37 / $162.11	Facility		$132.63	$147.37	$162.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $117.07 / $136.41	Professional		$117.07	$117.07	$136.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $147.37 / $294.57	Facility		$108.79	$147.37	$294.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $129.04 / $158.31	Professional		$60.12	$129.04	$158.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $162.11 / $162.11	Professional		$154.00	$162.11	$162.11
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $62.49 / $119.23	Professional		$59.71	$62.49	$119.23