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 $71.76 / $71.76 / $5,177.79	Professional		$71.76	$71.76	$5,177.79
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 / $213.93 / $914.81	Facility		$92.08	$213.93	$914.81
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 / $195.10 / $877.24	Facility		$92.08	$195.10	$877.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $112.33 / $164.48	Professional		$71.48	$112.33	$164.48
United Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $62.73 / $128.46	Professional		$48.94	$62.73	$128.46