Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $299.95 / $451.10	Facility		$207.23	$299.95	$451.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $176.46 / $282.79	Professional		$136.91	$176.46	$282.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $139.07 / $139.07 / $231.00	Professional	25	$139.07	$139.07	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.80 / $438.62 / $455.22	Professional		$395.80	$438.62	$455.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $383.04 / $429.92	Professional		$172.01	$383.04	$429.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.57 / $344.02 / $517.23	Facility		$240.57	$344.02	$517.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.33 / $306.81 / $575.04	Professional		$246.33	$306.81	$575.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.87 / $314.23 / $363.14	Facility		$226.87	$314.23	$363.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.48 / $344.02 / $461.66	Facility		$270.48	$344.02	$461.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $324.30 / $457.30	Professional		$205.92	$324.30	$457.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.99 / $298.99 / $473.44	Professional		$298.99	$298.99	$473.44
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $306.14 / $472.52	Professional		$175.40	$306.14	$472.52