Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $129.09 / $498.28	Professional		$101.15	$129.09	$498.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.34 / $216.33 / $293.05	Professional		$127.34	$216.33	$293.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $210.98 / $267.44	Professional		$175.83	$210.98	$267.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $181.04 / $255.02	Professional		$155.84	$181.04	$255.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $225.44 / $282.44	Professional		$180.36	$225.44	$282.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $235.74 / $290.88	Professional		$193.73	$235.74	$290.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $203.81 / $302.83	Professional		$141.60	$203.81	$302.83