Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $168.14 / $643.00	Professional		$106.17	$168.14	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.47 / $286.45 / $418.50	Professional		$193.47	$286.45	$418.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.61 / $350.58 / $411.25	Professional		$303.61	$350.58	$411.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $240.17 / $421.89	Professional		$176.97	$240.17	$421.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.08 / $300.51 / $412.80	Professional		$190.08	$300.51	$412.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $246.41 / $310.64 / $393.21	Professional		$246.41	$310.64	$393.21
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $256.22 / $441.51	Professional		$146.88	$256.22	$441.51