Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $346.74 / $977.24	Facility		$107.15	$346.74	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $707.95	Professional		$102.33	$112.20	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $338.84	Professional		$257.04	$309.03	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $331.13 / $812.83	Facility		$107.15	$331.13	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $407.38	Professional		$102.33	$120.23	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $229.09	Facility		$151.36	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $275.42	Facility		$107.15	$151.36	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $269.15	Professional		$79.43	$114.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Professional		$446.68	$446.68	$537.03