Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $96.55 / $116.24	Professional		$45.38	$96.55	$116.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $203.56 / $242.22	Professional		$184.64	$203.56	$242.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $103.48 / $196.02	Facility		$71.06	$103.48	$196.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $103.48 / $196.02	Facility		$74.22	$103.48	$196.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $309.33	Professional		$76.70	$76.70	$309.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $159.03 / $261.42	Professional		$107.80	$159.03	$261.42
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $167.64 / $274.52	Professional		$108.81	$167.64	$274.52