Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $281.84	Professional		$97.72	$229.09	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $660.69	Professional		$323.59	$512.86	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $323.59	Facility		$177.83	$263.03	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $338.84	Professional		$239.88	$263.03	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $316.23	Facility		$234.42	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $323.59	Facility		$165.96	$263.03	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $302.00	Professional		$79.43	$117.49	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $354.81	Professional		$275.42	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $199.53	Professional		$107.15	$120.23	$199.53