Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $152.49 / $529.00	Professional		$118.39	$152.49	$529.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $245.78 / $336.75	Professional		$141.68	$245.78	$336.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $241.91 / $306.64	Professional		$200.83	$241.91	$306.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $200.10 / $292.57	Professional		$171.36	$200.10	$292.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $253.79 / $324.16	Professional		$196.02	$253.79	$324.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $269.87 / $329.73	Professional		$209.56	$269.87	$329.73
United Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $231.84 / $353.63	Professional		$153.93	$231.84	$353.63