Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $464.16 / $2,050.17	Facility		$108.36	$464.16	$2,050.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $105.81 / $1,432.80	Professional		$105.81	$105.81	$1,432.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.72 / $216.72 / $216.72	Facility		$216.72	$216.72	$216.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $285.56 / $297.83	Professional		$245.66	$285.56	$297.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $140.22 / $227.49	Facility		$105.81	$140.22	$227.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $196.48 / $231.15	Facility		$138.69	$196.48	$231.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $151.31 / $340.40	Facility		$105.81	$151.31	$340.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $151.96 / $337.62	Professional		$108.36	$151.96	$337.62
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $122.18	Professional		$106.24	$106.24	$122.18