Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $257.04	Professional		$100.00	$123.03	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $177.83	Professional		$151.36	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $213.80	Facility		$102.33	$123.03	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $134.90	Professional		$100.00	$123.03	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $208.93	Facility		$102.33	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Professional		$72.44	$72.44	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78