Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $371.54	Professional		$66.07	$95.50	$371.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	52	$57.54	$57.54	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $218.78	Professional		$85.11	$141.25	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $194.98	Professional		$128.82	$158.49	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $190.55	Professional		$87.10	$134.90	$190.55
Moda Health Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	52	$57.54	$57.54	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $190.55	Professional		$79.43	$138.04	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $194.98	Professional		$89.13	$144.54	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $204.17	Professional		$95.50	$147.91	$204.17