Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $741.31	Professional		$234.42	$354.81	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $870.96	Professional		$295.12	$512.86	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $831.76	Professional		$407.38	$575.44	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $812.83	Professional		$389.05	$562.34	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $575.44 / $870.96	Professional		$79.43	$575.44	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $870.96	Professional		$446.68	$630.96	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $870.96	Professional		$346.74	$562.34	$870.96