Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Facility		$117.49	$117.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $173.78	Professional		$95.50	$131.83	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $323.59	Professional		$169.82	$263.03	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $251.19	Facility		$128.82	$141.25	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $316.23	Professional		$151.36	$245.47	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $363.08	Facility		$295.12	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $281.84	Facility		$107.15	$181.97	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $288.40	Professional		$79.43	$125.89	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89