Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $338.84	Professional		$81.28	$147.91	$338.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.83 / $162.18 / $346.74	Professional	25	$131.83	$162.18	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $338.84	Professional		$97.72	$173.78	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $338.84	Professional		$128.82	$208.93	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $158.49 / $275.42	Facility		$89.13	$158.49	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $331.13	Professional		$114.82	$186.21	$331.13
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $131.83 / $165.96 / $338.84	Professional	25	$131.83	$165.96	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $302.00	Facility		$199.53	$281.84	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $151.36 / $288.40	Facility		$83.18	$151.36	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $208.93 / $323.59	Professional		$87.10	$208.93	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $323.59	Professional		$70.79	$158.49	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $295.12	Professional		$102.33	$186.21	$295.12