Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $93.28 / $316.83	Professional		$79.84	$93.28	$316.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $90.00	Professional		$55.95	$55.95	$90.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $148.02 / $159.68	Professional		$59.85	$148.02	$159.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $106.42 / $199.46	Professional		$100.34	$106.42	$199.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $128.63 / $221.90	Professional		$55.27	$128.63	$221.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $114.57 / $201.30	Professional		$54.34	$114.57	$201.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $39.35 / $74.56	Professional		$23.68	$39.35	$74.56