Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $67.16 / $101.79	Professional		$30.00	$67.16	$101.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.04 / $148.04 / $148.04	Facility		$148.04	$148.04	$148.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $36.92 / $44.25	Professional		$16.57	$36.92	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $86.91 / $144.38	Facility		$31.22	$86.91	$144.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $28.71 / $29.49	Professional		$25.36	$28.71	$29.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $34.35 / $40.49	Facility		$28.60	$34.35	$40.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $86.91 / $148.04	Facility		$34.65	$86.91	$148.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $69.31 / $78.76	Professional		$25.34	$69.31	$78.76
United Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $79.31 / $79.31	Professional		$74.68	$79.31	$79.31