Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $152.13 / $388.52	Professional		$106.87	$152.13	$388.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $274.63 / $396.54	Professional		$162.77	$274.63	$396.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.30 / $278.95 / $359.53	Professional		$212.30	$278.95	$359.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $234.30 / $429.27	Professional		$174.52	$234.30	$429.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $277.52 / $382.47	Professional		$196.48	$277.52	$382.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $280.01 / $409.32	Professional		$206.52	$280.01	$409.32
United Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $275.05 / $455.32	Professional		$202.99	$275.05	$455.32