Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $137.18 / $628.08	Professional		$88.28	$137.18	$628.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $108.92 / $108.92	Professional		$108.92	$108.92	$108.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.04 / $288.43 / $338.68	Professional		$250.04	$288.43	$338.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $254.52 / $391.41	Professional		$207.18	$254.52	$391.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $281.52 / $382.96	Professional		$108.92	$281.52	$382.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $309.33 / $364.79	Professional		$235.98	$309.33	$364.79
United Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $179.55 / $409.61	Professional		$171.95	$179.55	$409.61