Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $240.16 / $276.77	Professional		$98.88	$240.16	$276.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $508.43 / $619.87	Professional		$319.27	$508.43	$619.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.84 / $265.48 / $471.75	Facility		$169.84	$265.48	$471.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.94 / $303.32 / $335.24	Professional		$239.94	$303.32	$335.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.85 / $311.80 / $319.27	Facility		$233.85	$311.80	$319.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.33 / $276.52 / $471.75	Facility		$181.33	$276.52	$471.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $266.01 / $374.16	Professional		$114.94	$266.01	$374.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $351.21 / $351.21	Professional		$303.89	$351.21	$351.21
United Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $119.47 / $227.92	Professional		$113.68	$119.47	$227.92