Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $616.60	Professional		$109.65	$165.96	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $426.58	Professional		$199.53	$295.12	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $416.87	Professional		$165.96	$346.74	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $457.09	Professional		$154.88	$263.03	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $389.05	Professional		$79.43	$229.09	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $371.54	Professional		$213.80	$275.42	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $363.08	Professional		$147.91	$158.49	$363.08