Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $44.54 / $126.78	Professional		$38.75	$44.54	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $95.81 / $143.87	Professional		$62.25	$95.81	$143.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $102.37 / $123.16	Professional		$79.34	$102.37	$123.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $87.43 / $157.01	Professional		$77.52	$87.43	$157.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $99.82 / $140.53	Professional		$82.56	$99.82	$140.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $109.26 / $165.74	Professional		$90.41	$109.26	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $98.99 / $155.03	Professional		$68.89	$98.99	$155.03