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 $143.10 / $250.56 / $349.07	Professional		$143.10	$250.56	$349.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
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 / $47.60 / $349.07	Facility		$28.77	$47.60	$349.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $31.15 / $46.93	Professional		$16.23	$31.15	$46.93
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 $28.77 / $46.93 / $343.27	Facility		$28.77	$46.93	$343.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $46.08 / $66.81	Professional		$36.43	$46.08	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $23.17 / $44.76	Professional		$17.23	$23.17	$44.76