Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $125.89	Facility		$38.90	$51.29	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $87.10	Professional		$41.69	$51.29	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
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 $30.20 / $47.86 / $81.28	Facility		$30.20	$47.86	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $83.18	Professional		$38.90	$51.29	$83.18
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 $46.77 / $63.10 / $131.83	Facility		$46.77	$63.10	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $79.43	Professional		$50.12	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $57.54	Professional		$47.86	$54.95	$57.54