Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $478.63 / $794.33	Facility		$75.86	$478.63	$794.33
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $354.81 / $724.44 / $977.24	Facility	25	$354.81	$724.44	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $134.90	Professional		$32.36	$57.54	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $117.49	Professional		$39.81	$79.43	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $112.20	Professional		$67.61	$85.11	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $72.44 / $162.18	Facility		$38.90	$72.44	$162.18
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $354.81 / $630.96 / $954.99	Facility	25	$354.81	$630.96	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $114.82	Professional		$43.65	$75.86	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $83.18	Facility		$58.88	$79.43	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $107.15	Facility		$37.15	$63.10	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $112.20	Professional		$63.10	$81.28	$112.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $691.83	Facility		$575.44	$575.44	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $112.20	Professional		$61.66	$83.18	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $117.49	Professional		$46.77	$83.18	$117.49