Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $58.88 / $58.88	Facility		$57.54	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $67.61	Professional		$54.95	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $117.49	Facility		$58.88	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $58.88 / $85.11	Facility		$54.95	$58.88	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $85.11	Facility		$54.95	$69.18	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $87.10	Professional		$58.88	$66.07	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18