Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $116.71 / $154.75	Professional		$96.88	$116.71	$154.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $235.31 / $291.88	Professional		$167.69	$235.31	$291.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $220.22 / $390.45	Professional		$133.32	$220.22	$390.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $156.88 / $293.92	Professional		$109.51	$156.88	$293.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $208.62 / $322.08	Professional		$183.08	$208.62	$322.08
United Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $243.22 / $379.18	Professional		$160.47	$243.22	$379.18