Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $56.23	Professional		$29.51	$32.36	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $64.57	Professional		$25.12	$60.26	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $46.77	Facility		$26.92	$31.62	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $53.70	Professional		$26.92	$32.36	$53.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $48.98	Facility		$39.81	$47.86	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $91.20	Facility		$32.36	$42.66	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $79.43	Professional		$35.48	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $38.02	Professional		$31.62	$38.02	$38.02