Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $263.03	Professional		$43.65	$74.13	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $151.36	Professional		$93.33	$141.25	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $81.28 / $93.33	Professional		$37.15	$81.28	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $123.03	Professional		$54.95	$89.13	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $107.15	Professional		$60.26	$79.43	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $117.49	Professional		$60.26	$91.20	$117.49