Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $65.69 / $158.10	Professional		$42.92	$65.69	$158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $111.39 / $170.82	Professional		$66.81	$111.39	$170.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $115.69 / $158.22	Professional		$92.80	$115.69	$158.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $105.14 / $149.74	Professional		$75.98	$105.14	$149.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $117.74 / $163.56	Professional		$83.79	$117.74	$163.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $121.71 / $175.22	Professional		$85.47	$121.71	$175.22
United Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $129.21 / $194.77	Professional		$87.36	$129.21	$194.77