Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.89 / $704.89 / $704.89	Facility		$704.89	$704.89	$704.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $473.40 / $704.89	Professional		$473.40	$473.40	$704.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $659.87	Professional		$65.00	$65.00	$659.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,042.59 / $2,083.63 / $2,259.92	Professional		$2,042.59	$2,083.63	$2,259.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $351.42 / $1,010.88	Facility		$94.67	$351.42	$1,010.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $74.73 / $94.69	Professional		$71.18	$74.73	$94.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $1,585.49 / $1,608.00	Facility		$1,320.00	$1,585.49	$1,608.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,320.00 / $1,585.49 / $1,608.00	Professional		$1,320.00	$1,585.49	$1,608.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $259.29 / $1,010.88	Facility		$56.94	$259.29	$1,010.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $82.92 / $110.96	Professional		$65.00	$82.92	$110.96
United Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $398.43 / $664.05	Professional		$336.55	$398.43	$664.05