Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $174.54 / $383.13	Professional		$133.43	$174.54	$383.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $261.18 / $398.92	Professional		$165.57	$261.18	$398.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $269.86 / $335.84	Professional		$214.02	$269.86	$335.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $228.60 / $419.09	Professional		$200.88	$228.60	$419.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $272.60 / $391.46	Professional		$205.74	$272.60	$391.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $297.98 / $448.70	Professional		$241.87	$297.98	$448.70
United Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $252.59 / $389.67	Professional		$177.19	$252.59	$389.67