Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.90 / $887.88 / $2,178.39	Professional		$722.90	$887.88	$2,178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.54 / $1,635.28 / $2,429.28	Professional		$868.54	$1,635.28	$2,429.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.55 / $1,722.93 / $2,129.56	Professional		$1,405.55	$1,722.93	$2,129.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.47 / $1,271.00 / $2,024.57	Professional		$1,042.47	$1,271.00	$2,024.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,666.64 / $2,231.23	Professional		$1,107.00	$1,666.64	$2,231.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $997.79 / $1,708.68 / $2,206.16	Professional		$997.79	$1,708.68	$2,206.16
United Facility/Professional Professional Modifier Low / Median / High Price $912.97 / $1,403.80 / $2,171.40	Professional		$912.97	$1,403.80	$2,171.40