Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $415.80 / $886.02	Facility		$28.15	$415.80	$886.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.75 / $14.08 / $46.31	Facility	52	$12.75	$14.08	$46.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.47 / $184.00	Professional		$11.30	$40.47	$184.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.65 / $16.67 / $41.58	Professional	52	$5.65	$16.67	$41.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $44.46 / $104.94	Professional		$17.91	$44.46	$104.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $34.65 / $90.46	Professional		$23.23	$34.65	$90.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $33.24 / $97.94	Facility		$14.14	$33.24	$97.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $52.89 / $97.67	Professional		$19.23	$52.89	$97.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $71.77 / $75.70	Facility		$22.78	$71.77	$75.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $35.96 / $95.25	Facility		$14.14	$35.96	$95.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $47.71 / $101.53	Professional		$22.36	$47.71	$101.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $42.57 / $103.07	Professional		$22.66	$42.57	$103.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $76.84 / $118.08	Professional		$48.02	$76.84	$118.08