Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $96.84 / $281.30	Facility		$40.76	$96.84	$281.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $43.28 / $124.80	Professional		$17.01	$43.28	$124.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $47.04 / $110.83	Professional		$34.50	$47.04	$110.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $45.47 / $95.26	Facility		$19.13	$45.47	$95.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $57.30 / $101.85	Professional		$27.08	$57.30	$101.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $81.28 / $89.11	Facility		$37.52	$81.28	$89.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $45.47 / $110.04	Facility		$19.13	$45.47	$110.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $55.62 / $112.23	Professional		$35.50	$55.62	$112.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $85.29 / $101.66	Facility		$62.94	$85.29	$101.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $57.55 / $115.84	Professional		$30.78	$57.55	$115.84
United Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $84.08 / $125.07	Professional		$59.29	$84.08	$125.07