Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.57 / $309.57 / $309.57	Facility		$309.57	$309.57	$309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $232.68 / $309.57	Professional		$232.68	$232.68	$309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $332.93	Facility		$332.93	$332.93	$332.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $282.99 / $332.93	Professional		$35.75	$282.99	$332.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.04 / $915.06 / $992.48	Professional		$897.04	$915.06	$992.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $314.95 / $628.29	Facility		$54.20	$314.95	$628.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $320.66 / $427.56	Professional		$42.77	$320.66	$427.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $531.63 / $641.21 / $706.18	Facility		$531.63	$641.21	$706.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $579.70 / $696.29 / $706.18	Professional		$579.70	$696.29	$706.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $314.95 / $779.37	Facility		$54.20	$314.95	$779.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $44.50 / $332.93	Professional		$35.86	$44.50	$332.93
United Facility/Professional Professional Modifier Low / Median / High Price $228.23 / $228.23 / $375.03	Professional		$228.23	$228.23	$375.03