Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $144.54	Professional		$54.95	$85.11	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $269.15	Professional		$158.49	$251.19	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $144.54	Professional		$56.23	$123.03	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $181.97	Professional		$93.33	$151.36	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $177.83	Professional		$79.43	$100.00	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $186.21	Professional		$81.28	$141.25	$186.21