Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.98 / $888.00 / $5,116.62	Facility		$213.98	$888.00	$5,116.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.90 / $120.19 / $162.04	Facility	52	$94.90	$120.19	$162.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $133.54 / $416.22	Professional		$86.57	$133.54	$416.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $225.33 / $353.15	Professional		$142.86	$225.33	$353.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $228.13 / $305.44	Professional		$156.84	$228.13	$305.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $187.01 / $290.32	Facility		$118.50	$187.01	$290.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $208.68 / $310.88	Professional		$156.38	$208.68	$310.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.34 / $169.58 / $255.80	Facility		$117.34	$169.58	$255.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $187.01 / $334.66	Facility		$118.50	$187.01	$334.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $241.15 / $328.56	Professional		$173.60	$241.15	$328.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.41 / $252.49 / $369.53	Professional		$177.41	$252.49	$369.53
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $241.15 / $383.46	Professional		$170.50	$241.15	$383.46