Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $323.59	Facility		$89.13	$138.04	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $229.09	Professional		$91.20	$109.65	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $114.82	Professional		$44.67	$107.15	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $213.80	Facility		$51.29	$97.72	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $204.17	Professional		$77.62	$109.65	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Facility		$70.79	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $281.84	Facility		$100.00	$125.89	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $109.65	Professional		$70.79	$79.43	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $114.82	Professional		$95.50	$114.82	$114.82