Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $94.67 / $139.25	Facility		$94.67	$94.67	$139.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $103.63 / $139.25	Professional		$75.77	$103.63	$139.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $199.03 / $247.70	Professional		$141.53	$199.03	$247.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.61 / $139.25 / $263.11	Facility		$88.61	$139.25	$263.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $186.11 / $329.97	Professional		$112.67	$186.11	$329.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.61 / $139.25 / $263.11	Facility		$88.61	$139.25	$263.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $131.86 / $247.25	Professional		$92.55	$131.86	$247.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $176.70 / $272.80	Professional		$154.72	$176.70	$272.80
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $204.34 / $321.16	Professional		$150.28	$204.34	$321.16