Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.76 / $988.00 / $8,728.00	Facility		$283.76	$988.00	$8,728.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $803.25 / $803.25 / $3,351.76	Facility	50	$803.25	$803.25	$3,351.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $148.32 / $700.08 / $942.40	Professional	50	$148.32	$700.08	$942.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $299.93 / $584.90	Professional		$228.49	$299.93	$584.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $274.55 / $608.39	Facility		$151.60	$274.55	$608.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.22 / $468.41 / $487.76	Facility		$233.22	$468.41	$487.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.83 / $275.94 / $617.83	Facility		$151.83	$275.94	$617.83
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00