Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $436.52	Professional		$251.19	$338.84	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $457.09	Professional		$165.96	$338.84	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $407.38	Professional		$79.43	$186.21	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $436.52	Professional		$257.04	$295.12	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $467.74	Professional		$229.09	$338.84	$467.74