Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $203.50 / $609.10	Professional		$128.84	$203.50	$609.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $277.82 / $394.68	Professional		$178.39	$277.82	$394.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $275.94 / $349.23	Professional		$220.43	$275.94	$349.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.74 / $239.75 / $399.11	Professional		$185.74	$239.75	$399.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $289.00 / $391.92	Professional		$215.04	$289.00	$391.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $296.36 / $403.64	Professional		$220.12	$296.36	$403.64
United Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $303.99 / $453.22	Professional		$215.70	$303.99	$453.22