Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $234.42	Facility		$158.49	$158.49	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $229.09	Professional		$128.82	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $389.05	Professional		$223.87	$309.03	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $275.42	Facility		$144.54	$181.97	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $416.87	Professional		$173.78	$302.00	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $302.00	Facility		$138.04	$177.83	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $371.54	Professional		$79.43	$177.83	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $398.11	Professional		$239.88	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $457.09	Professional		$223.87	$346.74	$457.09