Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $131.83 / $275.42	Facility		$63.10	$131.83	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $63.10	Professional		$52.48	$54.95	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $144.54	Professional		$114.82	$131.83	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $275.42	Facility		$56.23	$131.83	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $81.28	Professional		$52.48	$54.95	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $186.21	Facility		$54.95	$79.43	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $117.49	Professional		$56.23	$70.79	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61