Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $123.42 / $591.05	Professional		$73.86	$123.42	$591.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $155.52 / $211.43	Professional		$93.64	$155.52	$211.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $150.43 / $186.90	Professional		$124.65	$150.43	$186.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $129.91 / $185.92	Professional		$109.41	$129.91	$185.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $159.84 / $201.03	Professional		$125.29	$159.84	$201.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $166.41 / $205.61	Professional		$137.15	$166.41	$205.61
United Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $150.96 / $224.83	Professional		$106.56	$150.96	$224.83