Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $109.12 / $276.67	Professional		$49.43	$109.12	$276.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $134.74 / $276.98	Professional		$80.30	$134.74	$276.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $131.51 / $249.73	Professional		$104.55	$131.51	$249.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $156.02 / $253.20	Professional		$87.00	$156.02	$253.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $151.90 / $273.18	Professional		$97.92	$151.90	$273.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $164.13 / $290.47	Professional		$99.20	$164.13	$290.47
United Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $190.40 / $300.87	Professional		$130.19	$190.40	$300.87