Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $87.82 / $148.99	Professional		$49.63	$87.82	$148.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $119.82 / $250.90	Professional		$65.23	$119.82	$250.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $119.84 / $239.72	Professional		$93.19	$119.84	$239.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $158.10 / $323.60	Professional		$85.17	$158.10	$323.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $194.70 / $260.60	Professional		$97.92	$194.70	$260.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $87.83 / $172.77	Professional		$64.18	$87.83	$172.77
United Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $168.14 / $270.27	Professional		$122.55	$168.14	$270.27