Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $54.62 / $89.89	Professional		$48.45	$54.62	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $73.81 / $150.33	Professional		$53.13	$73.81	$150.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $153.90 / $219.36	Professional		$74.30	$153.90	$219.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $124.89 / $248.26	Professional		$112.78	$124.89	$248.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $142.08 / $214.88	Professional		$91.88	$142.08	$214.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $139.86 / $249.91	Professional		$132.87	$139.86	$249.91
United Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $40.93 / $148.88	Professional		$40.93	$40.93	$148.88