Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $331.13	Facility		$141.25	$302.00	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $190.55	Professional		$100.00	$131.83	$190.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	25	$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $363.08	Professional		$323.59	$346.74	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $338.84	Professional		$123.03	$281.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $407.38	Facility		$162.18	$269.15	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $363.08	Professional		$114.82	$208.93	$363.08
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	25	$147.91	$147.91	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $263.03	Facility		$194.98	$245.47	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $338.84	Facility		$190.55	$263.03	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $346.74	Professional		$79.43	$190.55	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $346.74	Professional		$134.90	$234.42	$346.74