Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $151.66 / $631.30	Professional		$88.71	$151.66	$631.30
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 / $393.42	Professional		$208.32	$255.15	$393.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $283.48 / $384.95	Professional		$109.51	$283.48	$384.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $311.79 / $366.68	Professional		$237.12	$311.79	$366.68
United Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $226.15 / $428.20	Professional		$172.37	$226.15	$428.20