Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.97 / $545.28 / $7,920.26	Facility		$126.97	$545.28	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.49 / $79.09 / $233.92	Facility	52	$63.49	$79.09	$233.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $205.43 / $929.00	Professional		$71.14	$205.43	$929.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.20 / $105.01 / $257.64	Professional	52	$47.20	$105.01	$257.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $250.47 / $540.83	Professional		$109.84	$250.47	$540.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $180.20 / $471.50	Professional		$121.73	$180.20	$471.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $213.81 / $526.15	Facility		$94.39	$213.81	$526.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $292.48 / $553.04	Professional		$103.01	$292.48	$553.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $348.15 / $393.72	Facility		$124.62	$348.15	$393.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $307.22 / $526.15	Facility		$94.39	$307.22	$526.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $241.45 / $524.40	Professional		$123.52	$241.45	$524.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $610.80 / $741.52	Facility		$441.25	$610.80	$741.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $222.37 / $540.07	Professional		$124.95	$222.37	$540.07
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 $290.44 / $453.71 / $632.71	Professional		$290.44	$453.71	$632.71