Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.70 / $293.70 / $293.70	Facility		$293.70	$293.70	$293.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $276.77 / $293.70	Professional		$276.77	$276.77	$293.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.81 / $382.81 / $382.81	Facility		$382.81	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $910.10	Professional		$40.29	$382.81	$910.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $868.17 / $941.64	Professional		$94.91	$868.17	$941.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $261.89 / $753.12	Facility		$51.12	$261.89	$753.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $51.12 / $55.69	Professional		$38.94	$51.12	$55.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $660.62 / $670.00	Facility		$550.00	$660.62	$670.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $660.62 / $670.00	Professional		$550.00	$660.62	$670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $261.89 / $753.12	Facility		$42.43	$261.89	$753.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $52.93 / $382.81	Professional		$40.99	$52.93	$382.81
United Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $216.54 / $355.81	Professional		$216.54	$216.54	$355.81