Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $69.00 / $72.00	Professional		$40.79	$69.00	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.21 / $260.66	Professional		$10.00	$23.21	$260.66
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 $6.07 / $6.07 / $6.07	Facility		$6.07	$6.07	$6.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $6.07	Facility		$6.07	$6.07	$6.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $260.66	Professional		$10.00	$10.00	$260.66