Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $263.03	Professional		$37.15	$66.07	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $154.88	Professional		$83.18	$144.54	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $83.18	Professional		$33.11	$72.44	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $107.15	Professional		$54.95	$81.28	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $107.15	Professional		$54.95	$79.43	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $117.49	Professional		$51.29	$79.43	$117.49