Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $43.65 / $46.77	Professional		$18.20	$43.65	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $144.54	Facility		$28.84	$64.57	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $74.13	Professional		$25.12	$64.57	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $34.67	Facility		$28.84	$34.67	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $186.21	Facility		$66.07	$87.10	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $79.43	Professional		$41.69	$74.13	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $79.43	Professional		$66.07	$79.43	$79.43