Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $575.44	Facility		$309.03	$380.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $575.44	Professional		$32.36	$52.48	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $426.58	Professional		$251.19	$309.03	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $416.87	Professional		$309.03	$346.74	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,162.28 / $5,128.61	Facility		$316.23	$3,162.28	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $380.19 / $630.96	Professional		$41.69	$380.19	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $380.19	Facility		$257.04	$309.03	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $4,466.84 / $6,309.57	Facility		$457.09	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $398.11	Professional		$79.43	$288.40	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42