Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $120.57 / $184.72	Facility		$86.06	$120.57	$184.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $72.42 / $117.06	Professional		$56.28	$72.42	$117.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $181.09 / $181.09 / $181.09	Professional	25	$181.09	$181.09	$181.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $180.74 / $188.91	Professional		$176.40	$180.74	$188.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $157.01 / $177.36	Professional		$70.51	$157.01	$177.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.48 / $143.69 / $216.03	Facility		$100.48	$143.69	$216.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $125.67 / $235.54	Professional		$101.49	$125.67	$235.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $129.31 / $148.74	Facility		$93.59	$129.31	$148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $143.69 / $188.78	Facility		$114.54	$143.69	$188.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $133.86 / $188.91	Professional		$85.80	$133.86	$188.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $122.27 / $193.60	Professional		$122.27	$122.27	$193.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $128.69 / $193.54	Professional		$85.80	$128.69	$193.54