Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.51 / $160.51 / $205.28	Facility		$160.51	$160.51	$205.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $147.53 / $290.99	Professional		$105.15	$147.53	$290.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $451.45	Professional	25	$261.39	$261.39	$451.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $321.25 / $407.83	Professional		$248.11	$321.25	$407.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.53 / $236.84 / $376.27	Facility		$141.53	$236.84	$376.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $273.29 / $412.72	Professional		$207.62	$273.29	$412.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.73 / $312.89 / $333.66	Facility		$187.73	$312.89	$333.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.63 / $252.57 / $422.19	Facility		$147.63	$252.57	$422.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $316.04 / $422.06	Professional		$209.52	$316.04	$422.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.76 / $441.42 / $488.97	Facility		$326.76	$441.42	$488.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $320.00 / $446.93	Professional		$221.16	$320.00	$446.93
United Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $321.99 / $518.58	Professional		$214.82	$321.99	$518.58