Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $155.72 / $6,629.40	Facility		$62.75	$155.72	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $53.37 / $178.34 / $351.00	Facility	50	$53.37	$178.34	$351.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.61 / $39.79 / $59.45	Facility	52	$32.61	$39.79	$59.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $63.33 / $179.00	Professional		$29.37	$63.33	$179.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.65 / $138.22 / $274.50	Professional	50	$47.65	$138.22	$274.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.64 / $34.57 / $86.50	Professional	52	$14.64	$34.57	$86.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $83.88 / $130.02	Professional		$51.28	$83.88	$130.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $81.89 / $116.07	Professional		$60.45	$81.89	$116.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $78.02 / $122.31	Facility		$47.16	$78.02	$122.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $81.52 / $141.44	Professional		$51.23	$81.52	$141.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $89.27 / $96.48	Facility		$56.59	$89.27	$96.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $88.50 / $122.31	Facility		$47.16	$88.50	$122.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $90.29 / $130.63	Professional		$61.77	$90.29	$130.63
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 Facility Modifier 50 Low / Median / High Price $415.88 / $415.88 / $415.88	Facility	50	$415.88	$415.88	$415.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $91.91 / $134.54	Professional		$62.80	$91.91	$134.54
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 $70.72 / $110.97 / $151.07	Professional		$70.72	$110.97	$151.07