Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $79.17 / $150.63	Professional		$66.06	$79.17	$150.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $133.31 / $199.93	Professional		$76.95	$133.31	$199.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $135.84 / $169.05	Professional		$107.73	$135.84	$169.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $116.51 / $211.13	Professional		$106.21	$116.51	$211.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $135.68 / $195.36	Professional		$108.82	$135.68	$195.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $151.05 / $223.82	Professional		$132.13	$151.05	$223.82
United Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $129.58 / $199.48	Professional		$91.68	$129.58	$199.48