Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $201.92 / $295.52	Facility		$92.94	$201.92	$295.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $105.40 / $219.25	Professional		$62.45	$105.40	$219.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $206.50 / $337.61	Professional		$94.32	$206.50	$337.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $205.14 / $318.68	Professional		$128.36	$205.14	$318.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $111.85 / $204.49	Facility		$61.56	$111.85	$204.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $186.94 / $326.29	Professional		$122.91	$186.94	$326.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $180.09 / $270.01	Facility		$96.48	$180.09	$270.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $111.85 / $214.61	Facility		$61.56	$111.85	$214.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $162.81 / $290.20	Professional		$88.44	$162.81	$290.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.73 / $430.09 / $596.85	Facility		$223.73	$430.09	$596.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $198.43 / $315.35	Professional		$129.65	$198.43	$315.35
United Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $168.96 / $381.44	Professional		$103.35	$168.96	$381.44