Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $95.47 / $369.00	Professional		$66.93	$95.47	$369.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.31 / $46.88 / $96.19	Professional	52	$33.31	$46.88	$96.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $145.36 / $218.89	Professional		$90.08	$145.36	$218.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $163.19 / $195.78	Professional		$133.66	$163.19	$195.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $129.28 / $186.78	Professional		$106.20	$129.28	$186.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $147.41 / $192.60	Professional		$98.70	$147.41	$192.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $147.51 / $193.02	Professional		$83.58	$147.51	$193.02
United Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $148.38 / $205.00	Professional		$102.00	$148.38	$205.00