Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $216.92	Professional		$216.91	$216.92	$216.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.38 / $476.38 / $476.38	Facility		$476.38	$476.38	$476.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $291.89 / $349.80	Professional		$131.08	$291.89	$349.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $280.72 / $466.38	Facility		$216.92	$280.72	$466.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $13,910.16 / $18,772.80	Professional		$192.41	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.83 / $271.51 / $275.37	Facility		$198.83	$271.51	$275.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $310.20 / $466.38	Facility		$216.92	$310.20	$466.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $238.19 / $345.95	Professional		$199.50	$238.19	$345.95
United Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $262.86 / $262.86	Professional		$247.53	$262.86	$262.86