Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $58.15 / $80.80	Professional		$45.92	$58.15	$80.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $107.04 / $158.21	Professional		$53.00	$107.04	$158.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $103.54 / $131.10	Professional		$73.95	$103.54	$131.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $95.00 / $158.10	Professional		$59.77	$95.00	$158.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $99.44 / $149.90	Professional		$57.58	$99.44	$149.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $105.11 / $147.69	Professional		$70.73	$105.11	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $121.04 / $186.56	Professional		$90.49	$121.04	$186.56