Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.33 / $126.64 / $162.58	Facility		$115.33	$126.64	$162.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $84.66 / $215.58	Professional		$59.54	$84.66	$215.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.52 / $87.06 / $266.29	Professional	25	$69.52	$87.06	$266.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $161.49 / $230.47	Professional		$99.67	$161.49	$230.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $171.54 / $206.86	Professional		$142.24	$171.54	$206.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $111.71 / $201.61	Facility		$74.63	$111.71	$201.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $146.37 / $237.67	Professional		$119.56	$146.37	$237.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $155.91 / $164.82	Facility		$108.34	$155.91	$164.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $117.83 / $210.23	Facility		$76.38	$117.83	$210.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $173.52 / $221.93	Professional		$139.50	$173.52	$221.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.37 / $269.67 / $324.48	Facility		$221.37	$269.67	$324.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $175.28 / $230.50	Professional		$123.94	$175.28	$230.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $163.89 / $253.30	Professional		$115.20	$163.89	$253.30
United Facility/Professional Professional Modifier 25 Low / Median / High Price $98.97 / $98.97 / $98.97	Professional	25	$98.97	$98.97	$98.97