Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $77.62 / $147.91	Facility		$48.98	$77.62	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $97.72	Professional		$30.20	$48.98	$97.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $162.18	Professional		$53.70	$102.33	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $144.54	Professional		$63.10	$95.50	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50.12 / $77.62	Facility		$32.36	$50.12	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $158.49	Professional		$42.66	$81.28	$158.49
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $125.89	Facility		$61.66	$102.33	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $79.43	Facility		$32.36	$48.98	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $141.25	Professional		$52.48	$79.43	$141.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $331.13	Facility		$208.93	$275.42	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Professional		$64.57	$97.72	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $501.19	Facility		$309.03	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $134.90	Professional		$45.71	$72.44	$134.90