Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $891.25	Facility		$645.65	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,047.13	Professional		$549.54	$851.14	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
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 $95.50 / $229.09 / $1,071.52	Facility		$95.50	$229.09	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $724.44 / $1,096.48	Professional		$208.93	$724.44	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $295.12 / $1,071.52	Facility		$95.50	$295.12	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $776.25	Professional		$79.43	$123.03	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $2,454.71	Facility		$67.61	$67.61	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $107.15 / $549.54	Professional		$40.74	$107.15	$549.54