Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $457.09	Facility		$181.97	$302.00	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $251.19	Professional		$131.83	$173.78	$251.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $138.04 / $229.09	Professional	25	$138.04	$138.04	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $457.09	Professional		$398.11	$436.52	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $467.74	Professional		$165.96	$380.19	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $346.74 / $512.86	Facility		$208.93	$346.74	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $478.63	Professional		$144.54	$269.15	$478.63
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	25	$229.09	$229.09	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $363.08	Facility		$234.42	$316.23	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $436.52	Facility		$239.88	$338.84	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $457.09	Professional		$79.43	$251.19	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $467.74	Professional		$169.82	$295.12	$467.74