Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $165.96	Professional		$64.57	$77.62	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $194.98	Professional		$74.13	$131.83	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $169.82	Professional		$74.13	$138.04	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $173.78	Professional		$104.71	$125.89	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $186.21	Professional		$79.43	$125.89	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $204.17	Professional		$97.72	$144.54	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $181.97	Professional		$85.11	$125.89	$181.97