Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Facility		$3.98	$3.98	$7.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Facility		$3.98	$3.98	$7.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $79.43	Professional		$10.00	$10.00	$79.43