Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $79.48 / $193.40	Professional		$47.95	$79.48	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $126.00 / $213.22	Professional		$72.90	$126.00	$213.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $132.62 / $200.59	Professional		$103.95	$132.62	$200.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $125.28 / $186.24	Professional		$80.59	$125.28	$186.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $135.24 / $201.74	Professional		$91.08	$135.24	$201.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $143.30 / $211.98	Professional		$92.65	$143.30	$211.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $156.10 / $235.11	Professional		$104.66	$156.10	$235.11