Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $151.36 / $389.05	Facility		$58.88	$151.36	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $100.00	Professional		$38.90	$51.29	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $54.95 / $109.65	Facility		$37.15	$54.95	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $102.33	Professional		$39.81	$85.11	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $302.00	Facility		$39.81	$50.12	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $91.20	Professional		$38.90	$50.12	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $75.86	Facility		$38.02	$39.81	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $56.23 / $114.82	Facility		$39.81	$56.23	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $79.43	Professional		$46.77	$70.79	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $60.26	Professional		$54.95	$60.26	$60.26