Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.84 / $189.00 / $252.00	Facility		$156.84	$189.00	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $144.00 / $333.00	Professional		$38.00	$144.00	$333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $132.00 / $179.50	Professional		$102.00	$132.00	$179.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $145.66 / $168.00	Professional		$124.00	$145.66	$168.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.00 / $4,845.79 / $5,085.88	Facility		$4,346.00	$4,845.79	$5,085.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $201.72 / $18,772.80	Professional		$178.50	$201.72	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $156.00 / $207.00	Facility		$117.00	$156.00	$207.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $3,074.00 / $5,085.88	Facility		$162.80	$3,074.00	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $130.00 / $167.50	Professional		$114.00	$130.00	$167.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $94.31 / $94.31	Professional		$94.31	$94.31	$94.31