Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $500.61 / $773.60	Facility		$70.23	$500.61	$773.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $350.83 / $632.53 / $886.02	Facility	25	$350.83	$632.53	$886.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $55.62 / $109.30	Professional		$31.10	$55.62	$109.30
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $80.56 / $113.72	Professional		$43.21	$80.56	$113.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $93.51 / $270.00	Professional		$74.36	$93.51	$270.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $76.13 / $107.67	Facility		$39.83	$76.13	$107.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $73.16 / $111.99	Professional		$60.65	$73.16	$111.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $78.39 / $83.08	Facility		$56.69	$78.39	$83.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $79.94 / $106.40	Facility		$40.59	$79.94	$106.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $89.28 / $113.87	Professional		$73.08	$89.28	$113.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $463.07 / $537.49 / $670.75	Facility		$463.07	$537.49	$670.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $95.53 / $117.49	Professional		$68.91	$95.53	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $85.56 / $127.13	Professional		$56.58	$85.56	$127.13