Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $110.40 / $452.00	Professional		$70.81	$110.40	$452.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $167.93 / $249.66	Professional		$111.18	$167.93	$249.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $157.75 / $191.45	Professional		$128.69	$157.75	$191.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $149.94 / $223.86	Professional		$102.38	$149.94	$223.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $163.51 / $211.38	Professional		$111.79	$163.51	$211.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $157.38 / $216.45	Professional		$88.24	$157.38	$216.45
United Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $174.29 / $233.03	Professional		$123.41	$174.29	$233.03