Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $251.19	Professional		$138.04	$194.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $575.44 / $707.95	Professional		$208.93	$575.44	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $489.78	Facility		$190.55	$269.15	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $263.03	Professional		$144.54	$239.88	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $549.54	Facility		$331.13	$446.68	$549.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $512.86	Facility		$158.49	$281.84	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $281.84	Professional		$79.43	$239.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $239.88	Professional		$95.50	$144.54	$239.88