Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $144.82 / $870.91	Professional		$72.41	$144.82	$870.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $136.90 / $187.67	Professional		$82.88	$136.90	$187.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $133.72 / $165.95	Professional		$110.81	$133.72	$165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $117.74 / $163.63	Professional		$100.08	$117.74	$163.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $140.44 / $177.00	Professional		$111.23	$140.44	$177.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $146.86 / $180.95	Professional		$121.57	$146.86	$180.95
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $129.29 / $198.90	Professional		$96.00	$129.29	$198.90