Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $186.21	Facility		$75.86	$123.03	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $100.00	Professional		$53.70	$70.79	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $69.18 / $181.97	Professional	25	$14.45	$69.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $190.55	Professional		$177.83	$181.97	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $190.55	Professional		$70.79	$158.49	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $165.96	Facility		$85.11	$120.23	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $199.53	Professional		$60.26	$112.20	$199.53
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	25	$181.97	$181.97	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $147.91	Facility		$102.33	$131.83	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $177.83	Facility		$100.00	$138.04	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $190.55	Professional		$79.43	$104.71	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $194.98	Professional		$72.44	$123.03	$194.98