Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $63.42 / $198.02	Professional		$46.98	$63.42	$198.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $123.69 / $208.15	Professional		$74.42	$123.69	$208.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $124.27 / $187.95	Professional		$91.52	$124.27	$187.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $110.40 / $202.61	Professional		$77.39	$110.40	$202.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $133.15 / $206.88	Professional		$90.88	$133.15	$206.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $143.91 / $221.71	Professional		$91.93	$143.91	$221.71
United Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $134.66 / $248.96	Professional		$106.53	$134.66	$248.96