Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $158.49	Professional		$43.65	$85.11	$158.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $93.33 / $208.93	Professional	25	$75.86	$93.33	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $199.53	Professional		$57.54	$100.00	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $218.78	Professional		$79.43	$117.49	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $165.96	Facility		$47.86	$89.13	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $190.55	Professional		$61.66	$104.71	$190.55
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $95.50 / $208.93	Professional	25	$75.86	$95.50	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $177.83	Facility		$114.82	$162.18	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $83.18 / $165.96	Facility		$43.65	$83.18	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $194.98	Professional		$79.43	$112.20	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $190.55	Professional		$50.12	$95.50	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $169.82	Professional		$56.23	$102.33	$169.82