Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $213.80	Professional		$57.54	$77.62	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $223.87	Professional		$74.13	$141.25	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $288.40	Professional		$177.83	$234.42	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $245.47	Professional		$87.10	$144.54	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $218.78	Professional		$95.50	$158.49	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $213.80	Professional		$102.33	$154.88	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $204.17	Professional		$70.79	$125.89	$204.17