Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $49.99 / $65.94	Professional		$40.10	$49.99	$65.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Professional		$43.15	$43.15	$43.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $93.30 / $115.19	Professional		$66.48	$93.30	$115.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $86.77 / $153.83	Professional		$52.53	$86.77	$153.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $66.98 / $121.85	Professional		$43.15	$66.98	$121.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $80.94 / $124.96	Professional		$72.14	$80.94	$124.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $103.18 / $147.11	Professional		$73.92	$103.18	$147.11