Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $208.93	Facility		$85.11	$89.13	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $89.13	Professional		$83.18	$85.11	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $208.93	Professional		$81.28	$194.98	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $125.89	Facility		$102.33	$102.33	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $158.49	Professional		$44.67	$102.33	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $257.04	Facility		$87.10	$123.03	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $173.78	Professional		$79.43	$89.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10