Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.10 / $308.10 / $308.10	Facility		$308.10	$308.10	$308.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $252.30 / $308.10	Professional		$252.30	$252.30	$308.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $278.48 / $327.62	Professional		$38.27	$278.48	$327.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.77 / $910.70 / $987.76	Professional		$892.77	$910.70	$987.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $345.65 / $721.32	Facility		$62.20	$345.65	$721.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $368.16 / $490.88	Professional		$47.31	$368.16	$490.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $638.16 / $702.83	Facility		$576.95	$638.16	$702.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $576.95 / $692.99 / $702.83	Professional		$576.95	$692.99	$702.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $327.62 / $894.74	Facility		$62.20	$327.62	$894.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $48.25 / $327.62	Professional		$38.27	$48.25	$327.62
United Facility/Professional Professional Modifier Low / Median / High Price $213.29 / $227.15 / $373.25	Professional		$213.29	$227.15	$373.25