Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.08 / $3,213.00 / $8,728.00	Facility		$183.08	$3,213.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $124.98 / $437.44	Professional		$79.37	$124.98	$437.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.94 / $57.20 / $179.71	Professional	52	$34.94	$57.20	$179.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $216.70 / $364.63	Professional		$131.55	$216.70	$364.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $207.08 / $313.08	Professional		$138.19	$207.08	$313.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $180.75 / $295.58	Facility		$105.85	$180.75	$295.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $212.95 / $278.36	Professional		$136.09	$212.95	$278.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.60 / $242.35 / $268.67	Facility		$131.60	$242.35	$268.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $188.97 / $341.52	Facility		$104.17	$188.97	$341.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $225.88 / $338.29	Professional		$150.54	$225.88	$338.29
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 $158.61 / $244.79 / $377.11	Professional		$158.61	$244.79	$377.11
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $252.95 / $384.49	Professional		$174.86	$252.95	$384.49