Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $120.67 / $181.90	Professional		$72.79	$120.67	$181.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.33 / $123.94 / $143.22	Professional	25	$71.33	$123.94	$143.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $154.47 / $295.95	Professional		$75.00	$154.47	$295.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $178.64 / $292.48	Professional		$125.00	$178.64	$292.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $136.40 / $229.02	Facility		$78.81	$136.40	$229.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $165.88 / $246.37	Professional		$113.00	$165.88	$246.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $205.65 / $252.59	Facility		$90.40	$205.65	$252.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $143.21 / $297.97	Facility		$83.39	$143.21	$297.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $198.00 / $286.88	Professional		$131.79	$198.00	$286.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $163.34 / $270.69	Professional		$97.57	$163.34	$270.69
United Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $202.42 / $323.82	Professional		$130.24	$202.42	$323.82