Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $154.31 / $504.00	Professional		$109.64	$154.31	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $259.81 / $408.98	Professional		$138.24	$259.81	$408.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $265.50 / $328.14	Professional		$216.59	$265.50	$328.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $212.44 / $330.53	Professional		$167.04	$212.44	$330.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $264.80 / $360.10	Professional		$172.80	$264.80	$360.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $280.64 / $349.36	Professional		$152.83	$280.64	$349.36
United Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $261.30 / $397.83	Professional		$167.70	$261.30	$397.83