Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $110.51 / $371.36	Professional		$69.52	$110.51	$371.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $185.17 / $199.36	Professional		$160.56	$185.17	$199.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $126.35 / $149.61	Professional		$56.74	$126.35	$149.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $124.00 / $189.91	Professional		$95.54	$124.00	$189.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $139.38 / $182.50	Professional		$88.88	$139.38	$182.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $168.08 / $168.08	Professional		$168.08	$168.08	$168.08
United Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $132.00 / $203.19	Professional		$93.12	$132.00	$203.19