Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $163.94 / $267.16	Facility		$113.82	$163.94	$267.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $96.20 / $169.19	Professional		$75.29	$96.20	$169.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $161.10 / $161.10 / $161.10	Professional	25	$161.10	$161.10	$161.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $239.81 / $261.06	Professional		$228.22	$239.81	$261.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.12 / $227.40 / $256.55	Professional		$102.12	$227.40	$256.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.47 / $189.45 / $284.83	Facility		$132.47	$189.45	$284.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $181.41 / $341.64	Professional		$133.11	$181.41	$341.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $172.86 / $211.53	Facility		$122.99	$172.86	$211.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.18 / $189.45 / $270.30	Facility		$153.18	$189.45	$270.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $178.02 / $267.75	Professional		$113.08	$178.02	$267.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $175.07 / $277.20	Professional		$175.07	$175.07	$277.20
United Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $169.47 / $279.83	Professional		$113.52	$169.47	$279.83