Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Facility		$47.86	$47.86	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $69.18	Professional		$39.81	$50.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $117.49	Professional		$67.61	$95.50	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $83.18	Facility		$43.65	$54.95	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $128.82	Professional		$52.48	$91.20	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $91.20	Facility		$41.69	$54.95	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $117.49	Professional		$45.71	$63.10	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $123.03	Professional		$74.13	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $138.04	Professional		$67.61	$104.71	$138.04