Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $165.96	Professional		$38.90	$79.43	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $190.55	Professional		$61.66	$107.15	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $141.25	Professional		$93.33	$120.23	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $181.97	Professional		$81.28	$125.89	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $194.98	Professional		$79.43	$114.82	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $218.78	Professional		$89.13	$141.25	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $213.80	Professional		$66.07	$123.03	$213.80