Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $133.05 / $133.05	Facility		$133.05	$133.05	$133.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $89.52 / $144.47	Professional		$89.52	$89.52	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $93.50 / $110.00	Professional		$13.15	$93.50	$110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.53 / $393.28 / $426.56	Professional		$385.53	$393.28	$426.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $122.64 / $288.41	Facility		$24.86	$122.64	$288.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $147.19 / $196.27	Professional		$15.85	$147.19	$196.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $275.58 / $303.51	Facility		$244.04	$275.58	$303.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $249.15 / $299.26 / $303.51	Professional		$249.15	$299.26	$303.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $122.64 / $357.73	Facility		$24.86	$122.64	$357.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $17.12 / $93.50	Professional		$12.91	$17.12	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $73.62 / $147.24	Professional		$69.13	$73.62	$147.24