Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.68 / $268.68 / $281.20	Professional		$268.68	$268.68	$281.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Facility		$338.00	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $287.30 / $338.00	Professional		$41.13	$287.30	$338.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.55 / $787.24 / $871.02	Professional		$632.55	$787.24	$871.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $281.57 / $941.22	Facility		$50.69	$281.57	$941.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $50.69 / $51.60	Professional		$38.61	$50.69	$51.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $508.75 / $562.73 / $619.75	Facility		$508.75	$562.73	$619.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $508.75 / $611.07 / $619.75	Professional		$508.75	$611.07	$619.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $268.68 / $941.22	Facility		$38.01	$268.68	$941.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $51.40 / $338.00	Professional		$41.13	$51.40	$338.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $200.30 / $333.83	Professional		$188.08	$200.30	$333.83