Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $118.66 / $498.84	Professional		$99.27	$118.66	$498.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $267.02 / $319.14	Professional		$142.87	$267.02	$319.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.58 / $130.53 / $255.12	Facility		$115.58	$130.53	$255.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $135.72 / $150.01	Professional		$108.14	$135.72	$150.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $139.52 / $157.16	Facility		$128.58	$139.52	$157.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.66 / $135.97 / $255.12	Facility		$118.66	$135.97	$255.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $119.86 / $167.42	Professional		$58.29	$119.86	$167.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $157.16 / $157.16	Professional		$149.30	$157.16	$157.16
United Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $60.58 / $115.58	Professional		$57.88	$60.58	$115.58