Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $95.93 / $124.73	Facility		$45.77	$95.93	$124.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $61.10 / $139.00	Professional		$34.29	$61.10	$139.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.58 / $149.00	Professional	25	$37.33	$91.58	$149.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $82.44 / $127.64	Professional		$43.28	$82.44	$127.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $102.72 / $114.76	Professional		$75.88	$102.72	$114.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $88.66 / $169.37	Facility		$49.41	$88.66	$169.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $77.93 / $154.91	Professional		$57.12	$77.93	$154.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $74.37 / $98.49	Facility		$53.78	$74.37	$98.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $92.96 / $169.37	Facility		$46.13	$92.96	$169.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $89.38 / $124.58	Professional		$59.90	$89.38	$124.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $113.25 / $154.19	Professional		$70.40	$113.25	$154.19
United Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $73.26 / $152.28	Professional		$49.22	$73.26	$152.28