Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $449.08 / $488.55	Professional		$183.43	$449.08	$488.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.30 / $943.52 / $1,150.33	Professional		$592.30	$943.52	$1,150.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $488.55 / $875.50	Facility		$315.08	$488.55	$875.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $445.13 / $562.69 / $621.92	Professional		$445.13	$562.69	$621.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.02 / $578.42 / $644.33	Facility		$572.02	$578.42	$644.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.40 / $512.98 / $875.50	Facility		$336.40	$512.98	$875.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $493.48 / $694.12	Professional		$213.23	$493.48	$694.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $563.77 / $651.54 / $651.54	Professional		$563.77	$651.54	$651.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $221.62 / $422.83	Professional		$204.91	$221.62	$422.83