Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $117.91 / $289.60	Professional		$101.15	$117.91	$289.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $252.51 / $320.58	Professional		$162.91	$252.51	$320.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $241.73 / $272.17	Professional		$186.02	$241.73	$272.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $190.08 / $320.25	Professional		$169.19	$190.08	$320.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $233.60 / $299.92	Professional		$153.22	$233.60	$299.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $217.89 / $308.89	Professional		$174.05	$217.89	$308.89
United Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $221.19 / $340.77	Professional		$164.32	$221.19	$340.77