Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $489.78	Facility		$120.23	$144.54	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $144.54	Professional		$114.82	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
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 $120.23 / $123.03 / $186.21	Facility		$120.23	$123.03	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $123.03	Professional		$114.82	$120.23	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $177.83	Facility		$114.82	$123.03	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43