Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $245.47	Professional		$47.86	$97.72	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $263.03	Professional		$128.82	$181.97	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $257.04	Professional		$102.33	$213.80	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $162.18 / $281.84	Professional		$64.57	$162.18	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $239.88	Professional		$79.43	$138.04	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $229.09	Professional		$134.90	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $234.42	Professional		$95.50	$102.33	$234.42