Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.25 / $252.47 / $412.03	Facility		$135.25	$252.47	$412.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $180.43 / $524.00	Professional		$119.14	$180.43	$524.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $84.77 / $300.00 / $601.00	Professional	25	$84.77	$300.00	$601.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $335.88 / $539.28	Professional		$178.48	$335.88	$539.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $316.37 / $487.80	Professional		$198.53	$316.37	$487.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.77 / $199.34 / $373.43	Facility		$128.77	$199.34	$373.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $285.70 / $478.86	Professional		$201.36	$285.70	$478.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $341.55 / $416.07	Facility		$208.37	$341.55	$416.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $197.75 / $378.82	Facility		$128.40	$197.75	$378.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $264.32 / $459.54	Professional		$150.47	$264.32	$459.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.76 / $412.99 / $506.13	Facility		$326.76	$412.99	$506.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $310.88 / $485.93	Professional		$206.97	$310.88	$485.93
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $337.99 / $627.83	Professional		$201.20	$337.99	$627.83