Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $112.20	Facility		$109.65	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $223.87	Facility		$112.20	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $165.96	Facility		$104.71	$112.20	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $112.20	Professional		$81.28	$109.65	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $162.18	Facility		$104.71	$112.20	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $112.20	Professional		$79.43	$112.20	$112.20