Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $72.44 / $281.84	Facility		$29.51	$72.44	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $89.13	Professional		$18.20	$25.70	$89.13
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $120.23	Facility		$50.12	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $85.11	Professional		$27.54	$34.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $79.43	Professional		$48.98	$66.07	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $64.57	Facility		$25.70	$33.88	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $75.86	Professional		$34.67	$56.23	$75.86
Moda Health Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $63.10	Facility		$41.69	$58.88	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $32.36 / $70.79	Facility		$23.44	$32.36	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $79.43	Professional		$32.36	$63.10	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $128.82	Facility		$47.86	$85.11	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $83.18	Professional		$32.36	$38.90	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $50.12	Facility		$33.88	$33.88	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $66.07	Professional		$28.18	$32.36	$66.07