Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $151.36	Professional		$44.67	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $208.93	Professional		$69.18	$125.89	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $181.97	Professional		$77.62	$120.23	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $199.53	Professional		$72.44	$104.71	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $194.98	Professional		$77.62	$114.82	$194.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $204.17	Professional		$91.20	$138.04	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $194.98	Professional		$70.79	$114.82	$194.98