Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $891.25	Facility		$363.08	$371.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $371.54	Professional		$354.81	$363.08	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.98 / $17.78	Professional		$6.92	$16.98	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $489.78 / $794.33	Facility		$35.48	$489.78	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $354.81 / $371.54	Professional		$18.62	$354.81	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $1,096.48	Facility		$363.08	$489.78	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $416.87 / $416.87	Professional		$14.79	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $407.38	Professional		$371.54	$407.38	$407.38