Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $128.82	Facility		$107.15	$125.89	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $380.19	Professional		$109.65	$134.90	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $173.78	Professional		$67.61	$162.18	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $275.42	Facility		$128.82	$131.83	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $338.84	Professional		$114.82	$141.25	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $128.82	Facility		$107.15	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $354.81	Facility		$125.89	$158.49	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $151.36	Professional		$79.43	$93.33	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $154.88	Professional		$134.90	$147.91	$154.88