Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.87 / $988.00 / $7,920.26	Facility		$65.87	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $95.82 / $205.03	Professional		$39.51	$95.82	$205.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.76 / $48.09 / $122.58	Professional	52	$19.76	$48.09	$122.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $97.49 / $208.96	Professional		$52.31	$97.49	$208.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $82.31 / $186.78	Professional		$56.02	$82.31	$186.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $106.93 / $220.29	Facility		$39.51	$106.93	$220.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $120.06 / $207.81	Professional		$50.38	$120.06	$207.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $139.90 / $161.13	Facility		$74.86	$139.90	$161.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $108.80 / $204.00	Facility		$39.51	$108.80	$204.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $101.78 / $208.78	Professional		$58.30	$101.78	$208.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $102.55 / $216.03	Professional		$57.62	$102.55	$216.03
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 $114.24 / $174.62 / $242.56	Professional		$114.24	$174.62	$242.56