Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $68.42 / $99.47	Facility		$68.42	$68.42	$99.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $73.34 / $99.47	Professional		$54.54	$73.34	$99.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $142.01 / $175.28	Professional		$101.20	$142.01	$175.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $99.47 / $183.43	Facility		$63.36	$99.47	$183.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $132.26 / $234.49	Professional		$80.06	$132.26	$234.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $99.47 / $183.43	Facility		$63.36	$99.47	$183.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $94.13 / $175.95	Professional		$65.77	$94.13	$175.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $123.69 / $190.96	Professional		$109.45	$123.69	$190.96
United Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $150.75 / $224.83	Professional		$109.87	$150.75	$224.83