Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $323.59	Facility		$93.33	$208.93	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $218.78	Professional		$61.66	$100.00	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $354.81	Professional		$117.49	$213.80	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $323.59	Professional		$114.82	$194.98	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $158.49	Facility		$61.66	$104.71	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $338.84	Professional		$89.13	$169.82	$338.84
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $223.87 / $269.15	Facility		$109.65	$223.87	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $173.78	Facility		$61.66	$93.33	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $281.84	Professional		$79.43	$144.54	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $602.56	Facility		$223.87	$446.68	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $323.59	Professional		$123.03	$199.53	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $870.96	Facility		$537.03	$660.69	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $281.84	Professional		$81.28	$131.83	$281.84