Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Facility		$446.68	$446.68	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $478.63	Professional		$354.81	$446.68	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $616.60	Professional		$489.78	$512.86	$616.60
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 $912.01 / $912.01 / $1,698.24	Facility		$912.01	$912.01	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $446.68	Professional		$354.81	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $912.01	Facility		$380.19	$446.68	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $371.54	Professional		$151.36	$223.87	$371.54