Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $57.86 / $185.60	Professional		$42.20	$57.86	$185.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $96.60 / $183.04	Professional		$54.92	$96.60	$183.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $167.03 / $190.85	Professional		$136.35	$167.03	$190.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $114.76 / $178.18	Professional		$84.68	$114.76	$178.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $124.97 / $180.09	Professional		$67.58	$124.97	$180.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $84.19 / $182.16	Professional		$75.18	$84.19	$182.16
United Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $64.23 / $151.94	Professional		$52.46	$64.23	$151.94