Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.18 / $206.18 / $206.18	Facility		$206.18	$206.18	$206.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $139.74 / $206.18	Professional		$132.97	$139.74	$206.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $152.03 / $414.75	Professional		$20.14	$152.03	$414.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.07 / $597.45 / $661.01	Professional		$480.07	$597.45	$661.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $146.72 / $602.58	Facility		$23.69	$146.72	$602.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.69 / $33.04	Professional		$18.05	$23.69	$33.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.40 / $427.07 / $470.34	Facility		$332.40	$427.07	$470.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $463.76 / $470.34	Professional		$386.10	$463.76	$470.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $139.74 / $602.58	Facility		$23.69	$139.74	$602.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $26.71 / $178.86	Professional		$20.14	$26.71	$178.86
United Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $110.44 / $220.87	Professional		$103.69	$110.44	$220.87