Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $194.98	Facility		$102.33	$125.89	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $158.49	Professional		$39.81	$75.86	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $87.10	Professional		$50.12	$63.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $83.18	Professional		$61.66	$70.79	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $3,162.28 / $5,128.61	Facility		$104.71	$3,162.28	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $114.82 / $190.55	Professional		$40.74	$114.82	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $128.82	Facility		$85.11	$104.71	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $4,466.84 / $6,309.57	Facility		$91.20	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $83.18	Professional		$57.54	$70.79	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77