Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.46 / $426.46 / $426.46	Facility		$426.46	$426.46	$426.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.72 / $381.72 / $426.46	Professional		$381.72	$381.72	$426.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $217.38 / $255.74	Professional		$56.76	$217.38	$255.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.97 / $1,235.77 / $1,367.26	Professional		$992.97	$1,235.77	$1,367.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.47 / $400.81 / $1,444.20	Facility		$69.47	$400.81	$1,444.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $69.47 / $79.20	Professional		$52.93	$69.47	$79.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $796.73 / $883.34 / $972.84	Facility		$796.73	$883.34	$972.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $798.60 / $959.22 / $972.84	Professional		$798.60	$959.22	$972.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $381.72 / $1,444.20	Facility		$60.34	$381.72	$1,444.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $73.00 / $255.74	Professional		$56.76	$73.00	$255.74
United Facility/Professional Professional Modifier Low / Median / High Price $314.41 / $314.41 / $524.02	Professional		$314.41	$314.41	$524.02