Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $173.88 / $288.64	Facility		$142.75	$173.88	$288.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $134.99 / $290.00	Professional		$40.17	$134.99	$290.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.18 / $140.65 / $288.64	Professional	25	$78.18	$140.65	$288.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.86 / $277.85 / $343.15	Professional		$234.86	$277.85	$343.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $211.95 / $301.75	Facility		$124.13	$211.95	$301.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $221.32 / $390.39	Professional		$167.79	$221.32	$390.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $219.76 / $261.97	Facility		$158.91	$219.76	$261.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.11 / $173.89 / $283.05	Facility		$132.11	$173.89	$283.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $132.11 / $132.11	Professional		$116.36	$132.11	$132.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.43 / $395.99 / $531.03	Facility		$199.43	$395.99	$531.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $284.31 / $363.84	Professional		$207.94	$284.31	$363.84
United Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $221.65 / $359.45	Professional		$159.25	$221.65	$359.45