Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $354.49 / $398.36	Facility		$207.15	$354.49	$398.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.64 / $332.55 / $371.53	Professional		$245.64	$332.55	$371.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $319.47 / $439.73	Facility		$184.38	$319.47	$439.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.59 / $309.33 / $320.93	Facility		$231.59	$309.33	$320.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $348.56 / $439.73	Facility		$164.86	$348.56	$439.73