Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $340.40 / $474.71	Facility		$39.86	$340.40	$474.71
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $263.64 / $367.61 / $487.82	Facility	25	$263.64	$367.61	$487.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.00 / $1,537.00 / $1,537.00	Facility		$1,537.00	$1,537.00	$1,537.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.37 / $270.00	Professional		$20.14	$25.37	$270.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $44.41 / $79.94	Facility		$16.46	$44.41	$79.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $29.07 / $42.88	Facility		$18.66	$29.07	$42.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $43.78 / $79.94	Facility		$17.36	$43.78	$79.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.92 / $292.85 / $370.40	Facility		$248.92	$292.85	$370.40