Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $143.19 / $232.00	Professional		$89.00	$143.19	$232.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.77 / $174.39 / $320.75	Professional	25	$91.77	$174.39	$320.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $185.15 / $349.99	Professional		$85.40	$185.15	$349.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $220.99 / $344.93	Professional		$128.90	$220.99	$344.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $167.19 / $270.94	Facility		$101.45	$167.19	$270.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $203.04 / $293.08	Professional		$141.00	$203.04	$293.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.20 / $243.05 / $298.82	Facility		$113.20	$243.05	$298.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.73 / $182.28 / $358.56	Facility		$103.73	$182.28	$358.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $240.99 / $341.70	Professional		$163.71	$240.99	$341.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $193.39 / $320.23	Professional		$120.65	$193.39	$320.23
United Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $239.40 / $388.82	Professional		$164.97	$239.40	$388.82