Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $100.92 / $171.30	Professional		$57.38	$100.92	$171.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $137.74 / $291.01	Professional		$75.23	$137.74	$291.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $144.34 / $288.17	Professional		$112.24	$144.34	$288.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $177.48 / $389.37	Professional		$101.71	$177.48	$389.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $225.06 / $299.74	Professional		$113.28	$225.06	$299.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $101.71 / $200.46	Professional		$76.50	$101.71	$200.46
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $191.98 / $321.69	Professional		$133.38	$191.98	$321.69