Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $165.97 / $7,920.26	Facility		$100.82	$165.97	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $86.10 / $293.54	Professional		$47.06	$86.10	$293.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.53 / $43.05 / $121.36	Professional	52	$23.53	$43.05	$121.36
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.41 / $17.22 / $48.55	Professional	53	$9.41	$17.22	$48.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $127.07 / $199.26	Professional		$72.59	$127.07	$199.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $118.22 / $178.81	Professional		$85.54	$118.22	$178.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $111.22 / $185.12	Facility		$53.54	$111.22	$185.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $120.53 / $204.13	Professional		$73.66	$120.53	$204.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $131.32 / $150.08	Facility		$79.80	$131.32	$150.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $115.11 / $192.21	Facility		$53.54	$115.11	$192.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $133.66 / $198.04	Professional		$87.68	$133.66	$198.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $137.77 / $212.24	Professional		$88.69	$137.77	$212.24
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 $101.93 / $162.40 / $238.32	Professional		$101.93	$162.40	$238.32