Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $123.42 / $565.05	Professional		$88.50	$123.42	$565.05
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 $251.40 / $290.01 / $340.53	Professional		$251.40	$290.01	$340.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $255.15 / $392.40	Professional		$208.32	$255.15	$392.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $281.52 / $383.95	Professional		$109.51	$281.52	$383.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.02 / $310.97 / $365.74	Professional		$220.02	$310.97	$365.74
United Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $179.55 / $410.65	Professional		$151.38	$179.55	$410.65