Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $178.34 / $404.16	Professional		$123.66	$178.34	$404.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.94 / $278.17 / $413.37	Professional		$168.94	$278.17	$413.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $320.56 / $373.22	Professional		$247.24	$320.56	$373.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $259.83 / $402.62	Professional		$211.20	$259.83	$402.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $291.20 / $396.94	Professional		$234.99	$291.20	$396.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $315.07 / $422.59	Professional		$235.29	$315.07	$422.59
United Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $307.30 / $470.09	Professional		$216.10	$307.30	$470.09