Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $363.08	Professional		$69.18	$107.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $199.53	Professional		$162.18	$186.21	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $165.96	Professional		$66.07	$144.54	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $208.93	Professional		$74.13	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $165.96	Professional		$79.43	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $177.83	Professional		$85.11	$128.82	$177.83