Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $246.26 / $370.02	Facility		$145.47	$246.26	$370.02
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $145.47 / $333.98 / $441.29	Facility	25	$145.47	$333.98	$441.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $193.52 / $527.91	Professional		$123.58	$193.52	$527.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.72 / $206.28 / $544.47	Professional	25	$127.72	$206.28	$544.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $178.29 / $217.61	Facility		$178.29	$178.29	$217.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $276.97 / $436.04	Professional		$130.00	$276.97	$436.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.73 / $324.66 / $412.16	Professional		$252.73	$324.66	$412.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $241.29 / $381.58	Facility		$142.34	$241.29	$381.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $274.22 / $423.32	Professional		$208.22	$274.22	$423.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.80 / $310.20 / $336.34	Facility		$201.80	$310.20	$336.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $245.28 / $423.90	Facility		$142.86	$245.28	$423.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.13 / $316.16 / $425.44	Professional		$223.13	$316.16	$425.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.04 / $151.04 / $151.04	Facility		$151.04	$151.04	$151.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.42 / $318.79 / $444.02	Professional		$224.42	$318.79	$444.02
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $314.83 / $478.54	Professional		$200.51	$314.83	$478.54