Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.85 / $258.43 / $403.67	Facility		$120.85	$258.43	$403.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.95 / $93.44 / $201.83	Facility	52	$84.95	$93.44	$201.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $198.51 / $414.73	Professional		$88.53	$198.51	$414.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $216.92 / $431.60	Professional		$121.03	$216.92	$431.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.82 / $212.78 / $389.68	Professional		$144.82	$212.78	$389.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $208.64 / $448.80	Facility		$98.26	$208.64	$448.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $260.42 / $424.33	Professional		$129.62	$260.42	$424.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $312.44 / $355.64	Facility		$155.94	$312.44	$355.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $216.45 / $448.80	Facility		$98.26	$216.45	$448.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $230.16 / $418.40	Professional		$146.41	$230.16	$418.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $872.64 / $1,190.78 / $1,341.28	Facility		$872.64	$1,190.78	$1,341.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $231.92 / $433.84	Professional		$148.77	$231.92	$433.84
United Facility/Professional Professional Modifier Low / Median / High Price $261.63 / $355.61 / $519.61	Professional		$261.63	$355.61	$519.61