Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $250.56 / $358.08	Professional		$250.56	$250.56	$358.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $34.33 / $709.61	Professional		$34.33	$34.33	$709.61
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 $74.86 / $103.70 / $358.30	Facility		$74.86	$103.70	$358.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $46.93 / $54.21	Professional		$35.76	$46.93	$54.21
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 $46.08 / $87.82 / $345.28	Facility		$46.08	$87.82	$345.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $46.08 / $54.67	Professional		$37.64	$46.08	$54.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $25.15 / $44.76	Professional		$23.17	$25.15	$44.76