Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $251.19	Facility		$117.49	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $251.19	Professional		$138.04	$199.53	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Professional		$218.78	$218.78	$223.87
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 $141.25 / $147.91 / $309.03	Facility		$141.25	$147.91	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $316.23	Professional		$162.18	$251.19	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $524.81	Facility		$436.52	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $371.54	Facility		$144.54	$251.19	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $691.83	Professional		$79.43	$125.89	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89