Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $169.77 / $6,629.40	Facility		$30.84	$169.77	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $25.00 / $57.82	Professional		$12.49	$25.00	$57.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.31 / $41.16 / $93.00	Professional	50	$22.31	$41.16	$93.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.25 / $11.38 / $69.00	Professional	52	$6.25	$11.38	$69.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.50 / $4.55 / $65.00	Professional	53	$2.50	$4.55	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $36.72 / $47.20	Professional		$20.90	$36.72	$47.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $36.79 / $43.18	Professional		$26.23	$36.79	$43.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $31.45 / $48.91	Facility		$22.75	$31.45	$48.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $33.14 / $49.86	Professional		$23.20	$33.14	$49.86
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $80.16 / $80.16 / $80.16	Professional	50	$80.16	$80.16	$80.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $26.80 / $32.15	Facility		$17.44	$26.80	$32.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $32.53 / $48.91	Facility		$22.75	$32.53	$48.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $36.29 / $45.76	Professional		$25.20	$36.29	$45.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $196.41 / $242.25	Facility		$155.05	$196.41	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $39.38 / $49.03	Professional		$28.29	$39.38	$49.03
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 $20.81 / $32.65 / $48.49	Professional		$20.81	$32.65	$48.49