Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.42 / $328.35 / $440.45	Facility		$202.42	$328.35	$440.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $176.17 / $503.50	Professional		$115.53	$176.17	$503.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $256.83 / $463.05	Professional	25	$115.53	$256.83	$463.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $187.13 / $187.13	Facility		$187.13	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $351.85 / $434.22	Professional		$298.16	$351.85	$434.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.75 / $275.77 / $416.50	Facility		$161.75	$275.77	$416.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $300.70 / $491.81	Professional		$253.98	$300.70	$491.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.26 / $320.93 / $332.99	Facility		$232.26	$320.93	$332.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.09 / $220.23 / $416.50	Facility		$172.09	$220.23	$416.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $194.71 / $194.71	Professional		$147.60	$194.71	$194.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $293.93 / $506.32 / $679.40	Facility		$293.93	$506.32	$679.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.88 / $369.63 / $465.22	Professional		$265.88	$369.63	$465.22
United Facility/Professional Professional Modifier Low / Median / High Price $234.71 / $333.19 / $524.51	Professional		$234.71	$333.19	$524.51