Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.76 / $552.76 / $552.76	Facility		$552.76	$552.76	$552.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.98 / $304.98 / $552.76	Professional		$304.98	$304.98	$552.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $241.17 / $283.73	Professional		$47.85	$241.17	$283.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.71 / $1,633.89 / $1,772.15	Professional		$1,601.71	$1,633.89	$1,772.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.98 / $560.72 / $693.88	Facility		$304.98	$560.72	$693.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $64.33 / $494.40	Professional		$50.75	$64.33	$494.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $745.25 / $907.85	Facility		$630.96	$745.25	$907.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $745.25 / $907.85 / $907.85	Professional		$745.25	$907.85	$907.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $448.58 / $745.68	Facility		$204.26	$448.58	$745.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $58.35 / $283.73	Professional		$47.85	$58.35	$283.73
United Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $303.48 / $583.50	Professional		$297.77	$303.48	$583.50