Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $341.08 / $6,629.40	Facility		$149.32	$341.08	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $122.13 / $357.22	Professional		$62.00	$122.13	$357.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.28 / $46.74 / $154.47	Professional	52	$28.28	$46.74	$154.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $179.28 / $309.32	Professional		$107.38	$179.28	$309.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $171.08 / $267.33	Professional		$118.46	$171.08	$267.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $155.44 / $252.45	Facility		$86.82	$155.44	$252.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $181.47 / $258.45	Professional		$111.54	$181.47	$258.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $204.35 / $229.81	Facility		$108.43	$204.35	$229.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $160.09 / $292.61	Facility		$86.82	$160.09	$292.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $185.98 / $289.85	Professional		$123.34	$185.98	$289.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $209.72 / $323.10	Professional		$129.47	$209.72	$323.10
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 $149.58 / $206.04 / $353.29	Professional		$149.58	$206.04	$353.29