Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $199.56 / $685.22	Facility		$40.33	$199.56	$685.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $35.90 / $102.90	Professional		$15.66	$35.90	$102.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.00 / $23.95 / $39.00	Professional	25	$20.00	$23.95	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $63.72 / $67.93	Professional		$35.83	$63.72	$67.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $30.46 / $35.09	Professional		$13.68	$30.46	$35.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $60.80 / $138.00	Facility		$26.00	$60.80	$138.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $38.76 / $46.08	Professional		$22.95	$38.76	$46.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $28.81 / $48.24	Facility		$23.64	$28.81	$48.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $36.04 / $65.15	Facility		$26.00	$36.04	$65.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $35.70 / $53.25	Professional		$22.33	$35.70	$53.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $218.47 / $263.70	Facility		$170.44	$218.47	$263.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
United Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $216.35 / $267.32	Facility		$216.35	$216.35	$267.32
United Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $33.15 / $52.61	Professional		$21.99	$33.15	$52.61