Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $896.80 / $896.80	Facility		$896.80	$896.80	$896.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.71 / $640.32 / $1,005.44	Professional		$605.71	$640.32	$1,005.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $270.55 / $1,376.69	Facility		$92.08	$270.55	$1,376.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $92.08 / $184.58	Professional		$63.20	$92.08	$184.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $213.93 / $1,043.01	Facility		$92.08	$213.93	$1,043.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $112.33 / $151.15	Professional		$24.99	$112.33	$151.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $60.85 / $199.28	Professional		$60.85	$60.85	$199.28