Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $117.49 / $117.49	Facility		$43.65	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $91.20	Facility		$45.71	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $323.59	Professional		$151.36	$257.04	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $141.25	Facility		$44.67	$53.70	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $316.23	Professional		$141.25	$245.47	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $181.97	Facility		$42.66	$53.70	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $125.89	Professional		$37.15	$79.43	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $125.89 / $125.89	Professional		$44.67	$125.89	$125.89