Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $134.90	Facility		$72.44	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $151.36	Professional		$70.79	$74.13	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $181.97	Facility		$69.18	$102.33	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $186.21	Professional		$74.13	$158.49	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $77.62 / $91.20	Facility		$54.95	$77.62	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $138.04	Professional		$66.07	$77.62	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $138.04	Facility		$70.79	$74.13	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $213.80	Facility		$74.13	$104.71	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $93.33	Professional		$79.43	$79.43	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $102.33	Professional		$95.50	$100.00	$102.33