Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $69.18	Facility		$67.61	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $70.79	Professional		$64.57	$67.61	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $138.04	Facility		$69.18	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $100.00	Facility		$64.57	$69.18	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $234.42 / $295.12	Professional		$67.61	$234.42	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $104.71	Facility		$64.57	$69.18	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $125.89	Professional		$79.43	$125.89	$125.89