Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.30 / $232.30 / $232.30	Facility		$232.30	$232.30	$232.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $250.56 / $358.08	Professional		$232.30	$250.56	$358.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $61.57	Professional		$61.57	$61.57	$61.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $56.79 / $349.07	Facility		$41.40	$56.79	$349.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $46.93 / $54.21	Professional		$35.76	$46.93	$54.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $51.63 / $343.27	Facility		$41.30	$51.63	$343.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $46.08 / $61.57	Professional		$37.64	$46.08	$61.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.25 / $47.00	Professional		$23.17	$26.25	$47.00