Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $199.53 / $6,606.93	Facility		$66.07	$199.53	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $199.53	Professional		$32.36	$87.10	$199.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	52	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.72 / $208.93	Professional		$42.66	$97.72	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $190.55	Professional		$48.98	$77.62	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $107.15 / $229.09	Facility		$38.90	$107.15	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $177.83	Professional		$45.71	$97.72	$177.83
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	52	$125.89	$125.89	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $158.49	Facility		$100.00	$144.54	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $100.00 / $186.21	Facility		$36.31	$100.00	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $194.98	Professional		$57.54	$85.11	$194.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $977.24	Facility		$602.56	$776.25	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $199.53	Professional		$57.54	$102.33	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $6,165.95	Facility		$389.05	$1,230.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $194.98	Professional		$50.12	$97.72	$194.98