Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $12.00 / $25.00	Professional		$6.57	$12.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $201.47 / $255.12	Professional		$147.25	$201.47	$255.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.57 / $7.26	Facility		$6.17	$6.57	$7.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $15.38 / $45.00	Professional		$7.50	$15.38	$45.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.23 / $7.26	Facility		$6.17	$7.23	$7.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Professional		$6.57	$6.57	$6.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00