Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $333.36 / $333.36	Facility		$333.36	$333.36	$333.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $223.80 / $333.36	Professional		$215.22	$223.80	$333.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Facility		$209.52	$209.52	$209.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $178.09 / $209.52	Professional		$31.65	$178.09	$209.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.98 / $985.38 / $1,068.74	Professional		$965.98	$985.38	$1,068.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.22 / $323.33 / $430.60	Facility		$215.22	$323.33	$430.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $43.06 / $336.74	Professional		$32.59	$43.06	$336.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.84 / $690.49 / $760.45	Facility		$363.84	$690.49	$760.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $624.25 / $749.80 / $760.45	Professional		$624.25	$749.80	$760.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $269.02 / $553.61	Facility		$122.50	$269.02	$553.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $40.98 / $209.52	Professional		$34.68	$40.98	$209.52
United Facility/Professional Professional Modifier Low / Median / High Price $178.68 / $189.90 / $371.60	Professional		$178.68	$189.90	$371.60