Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.48 / $248.48 / $248.48	Facility		$248.48	$248.48	$248.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $237.24 / $248.48	Professional		$237.24	$237.24	$248.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $256.50	Facility		$256.50	$256.50	$256.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $218.03 / $256.50	Professional		$35.83	$218.03	$256.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $734.48 / $796.62	Professional		$42.71	$734.48	$796.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $234.36 / $673.92	Facility		$63.12	$234.36	$673.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $42.92 / $49.83	Professional		$32.70	$42.92	$49.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.30 / $514.66 / $566.82	Facility		$465.30	$514.66	$566.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $558.88 / $566.82	Professional		$465.30	$558.88	$566.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $228.89 / $673.92	Facility		$37.97	$228.89	$673.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $45.37 / $256.50	Professional		$34.97	$45.37	$256.50
United Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $183.19 / $301.02	Professional		$183.19	$183.19	$301.02