Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $118.59 / $247.31	Professional		$49.07	$118.59	$247.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $131.97 / $249.73	Professional		$81.99	$131.97	$249.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $132.83 / $225.47	Professional		$90.41	$132.83	$225.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $138.62 / $275.04	Professional		$77.39	$138.62	$275.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $144.88 / $250.68	Professional		$92.30	$144.88	$250.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $154.54 / $267.20	Professional		$93.87	$154.54	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $203.81 / $297.22	Professional		$132.84	$203.81	$297.22