Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $78.45 / $171.80	Professional		$50.18	$78.45	$171.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $127.13 / $211.02	Professional		$73.56	$127.13	$211.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $132.51 / $199.21	Professional		$104.42	$132.51	$199.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $121.89 / $179.82	Professional		$82.48	$121.89	$179.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $136.30 / $199.66	Professional		$91.85	$136.30	$199.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $141.46 / $212.90	Professional		$91.99	$141.46	$212.90
United Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $157.62 / $238.28	Professional		$106.56	$157.62	$238.28