Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $257.04	Professional		$81.28	$114.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $316.23	Professional		$123.03	$199.53	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $288.40	Professional		$125.89	$194.98	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $302.00	Professional		$138.04	$204.17	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $309.03	Professional		$79.43	$204.17	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $316.23	Professional		$177.83	$234.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $309.03	Professional		$125.89	$194.98	$309.03