Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $124.39 / $277.39	Professional		$81.97	$124.39	$277.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $217.97 / $332.69	Professional		$141.72	$217.97	$332.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $219.70 / $289.89	Professional		$151.04	$219.70	$289.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $198.02 / $299.20	Professional		$150.51	$198.02	$299.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $227.97 / $313.85	Professional		$167.91	$227.97	$313.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $240.83 / $352.47	Professional		$179.02	$240.83	$352.47
United Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $235.85 / $363.84	Professional		$146.83	$235.85	$363.84