Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $512.86 / $4,265.80	Facility		$19.50	$512.86	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $10.96 / $19.95	Professional		$3.02	$10.96	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $53.70	Professional		$43.65	$50.12	$53.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $3,388.44	Facility		$20.42	$32.36	$3,388.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $8.91 / $23.99	Professional		$3.02	$8.91	$23.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $42.66	Facility		$29.51	$41.69	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $43.65	Facility		$20.42	$29.51	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $79.43	Professional		$17.78	$17.78	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $25.12	Professional		$20.89	$20.89	$25.12