Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $124.69 / $300.80	Professional		$96.20	$124.69	$300.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $220.60 / $328.32	Professional		$128.97	$220.60	$328.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $261.38 / $303.02	Professional		$212.72	$261.38	$303.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $197.47 / $309.06	Professional		$168.60	$197.47	$309.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $226.63 / $308.38	Professional		$183.33	$226.63	$308.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.97 / $259.14 / $331.63	Professional		$186.97	$259.14	$331.63
United Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $236.29 / $372.38	Professional		$164.14	$236.29	$372.38