Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.38 / $4,684.68 / $39,855.37	Facility		$89.38	$4,684.68	$39,855.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.88 / $19.55 / $21.48	Facility	53	$17.88	$19.55	$21.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $61.28 / $227.03	Professional		$43.49	$61.28	$227.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $94.95 / $127.84	Professional		$57.94	$94.95	$127.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $96.94 / $110.36	Professional		$69.22	$96.94	$110.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $92.14 / $141.62	Facility		$59.08	$92.14	$141.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $93.06 / $136.87	Professional		$68.84	$93.06	$136.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $84.32 / $98.49	Facility		$70.50	$84.32	$98.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $99.06 / $127.02	Facility		$59.08	$99.06	$127.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $102.93 / $132.55	Professional		$76.84	$102.93	$132.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $105.99 / $139.62	Professional		$80.56	$105.99	$139.62
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 $66.55 / $104.44 / $138.07	Professional		$66.55	$104.44	$138.07