Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $97.72	Facility		$52.48	$63.10	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $89.13	Professional		$30.20	$47.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $2,290.87 / $5,011.87	Facility		$45.71	$2,290.87	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $93.33	Professional		$39.81	$56.23	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $69.18	Facility		$43.65	$52.48	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $5,754.40	Facility		$2,754.23	$3,311.31	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Professional		$48.98	$64.57	$83.18