Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $223.11 / $664.07	Professional		$109.76	$223.11	$664.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $349.08 / $728.08	Professional		$200.72	$349.08	$728.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $344.10 / $655.87	Professional		$239.78	$344.10	$655.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $374.10 / $724.08	Professional		$195.46	$374.10	$724.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $375.95 / $730.48	Professional		$232.53	$375.95	$730.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $420.55 / $769.37	Professional		$236.30	$420.55	$769.37
United Facility/Professional Professional Modifier Low / Median / High Price $373.36 / $502.59 / $863.87	Professional		$373.36	$502.59	$863.87