Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $72.44	Facility		$39.81	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $100.00	Professional		$38.02	$47.86	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $70.79 / $75.86	Professional		$29.51	$70.79	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $72.44	Facility		$28.18	$39.81	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $95.50	Professional		$38.02	$47.86	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $57.54	Facility		$46.77	$56.23	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $114.82	Facility		$40.74	$51.29	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $79.43	Professional		$44.67	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $47.86	Professional		$39.81	$44.67	$47.86