Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $77.95 / $108.11	Professional		$58.83	$77.95	$108.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $69.93	Professional		$69.93	$69.93	$69.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $150.83 / $186.61	Professional		$107.49	$150.83	$186.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $140.62 / $249.31	Professional		$85.13	$140.62	$249.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $101.76 / $189.84	Professional		$69.93	$101.76	$189.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $131.66 / $203.28	Professional		$116.42	$131.66	$203.28
United Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $171.54 / $236.16	Professional		$120.01	$171.54	$236.16