Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $99.96	Facility		$67.48	$67.48	$99.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $74.03 / $99.96	Professional		$54.04	$74.03	$99.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.26 / $177.05	Professional		$101.00	$142.26	$177.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $99.96 / $189.24	Facility		$63.23	$99.96	$189.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $132.85 / $235.54	Professional		$80.43	$132.85	$235.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $99.96 / $189.24	Facility		$63.23	$99.96	$189.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $94.13 / $176.49	Professional		$66.06	$94.13	$176.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $126.54 / $195.36	Professional		$110.45	$126.54	$195.36
United Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $144.55 / $229.99	Professional		$105.12	$144.55	$229.99