Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $82.65 / $123.70	Professional		$48.02	$82.65	$123.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.05 / $92.38 / $208.08	Professional	25	$73.05	$92.38	$208.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $103.62 / $210.75	Professional		$55.60	$103.62	$210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $125.00 / $206.94	Professional		$92.23	$125.00	$206.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.89 / $91.11 / $161.82	Facility		$51.89	$91.11	$161.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $112.05 / $174.48	Professional		$74.23	$112.05	$174.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $145.16 / $178.89	Facility		$63.60	$145.16	$178.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $98.08 / $210.39	Facility		$54.23	$98.08	$210.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $132.84 / $201.63	Professional		$87.47	$132.84	$201.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $116.30 / $191.71	Professional		$64.90	$116.30	$191.71
United Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $136.94 / $232.78	Professional		$66.70	$136.94	$232.78