Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $85.55 / $216.22	Professional		$48.72	$85.55	$216.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $161.16 / $234.41	Professional		$109.09	$161.16	$234.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $160.12 / $216.45	Professional		$108.88	$160.12	$216.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $177.32 / $234.52	Professional		$106.76	$177.32	$234.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $176.88 / $277.62	Professional		$114.57	$176.88	$277.62
United Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $182.16 / $308.82	Professional		$124.51	$182.16	$308.82