Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $143.10 / $143.10	Facility		$143.10	$143.10	$143.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $126.42 / $184.14	Professional		$118.46	$126.42	$184.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
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 $28.77 / $50.64 / $271.80	Facility		$28.77	$50.64	$271.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $30.21 / $46.04	Professional		$16.23	$30.21	$46.04
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 $23.02 / $46.93 / $239.12	Facility		$23.02	$46.93	$239.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $24.14 / $125.04	Professional		$19.84	$24.14	$125.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $14.72 / $31.79	Professional		$11.78	$14.72	$31.79