Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $26.30	Facility		$20.89	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Professional		$20.89	$20.89	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $537.03	Professional		$436.52	$501.19	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $616.60 / $1,174.90	Facility		$22.39	$616.60	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $933.25	Professional		$20.89	$21.88	$933.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $426.58	Facility		$295.12	$416.87	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $457.09	Facility		$21.88	$33.88	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $501.19	Professional		$79.43	$181.97	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,122.02	Facility		$467.74	$467.74	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $234.42	Professional		$125.89	$138.04	$234.42