Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $236.16 / $385.50	Facility		$146.31	$236.16	$385.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $111.66 / $111.66	Facility		$111.66	$111.66	$111.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $204.02 / $227.81	Professional		$150.62	$204.02	$227.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.43 / $242.88 / $334.13	Facility		$138.43	$242.88	$334.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $194.30 / $253.93	Facility		$159.31	$194.30	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $250.57 / $334.13	Facility		$101.09	$250.57	$334.13