Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.70 / $508.70 / $508.70	Facility		$508.70	$508.70	$508.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $279.77 / $508.70	Professional		$279.77	$279.77	$508.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $279.36	Facility		$279.36	$279.36	$279.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $237.46 / $279.36	Professional		$44.04	$237.46	$279.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.07 / $1,503.69 / $1,630.91	Professional		$1,474.07	$1,503.69	$1,630.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.77 / $510.00 / $631.63	Facility		$279.77	$510.00	$631.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $58.46 / $449.67	Professional		$46.15	$58.46	$449.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $573.89 / $685.85 / $835.49	Facility		$573.89	$685.85	$835.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $685.85 / $835.49 / $835.49	Professional		$685.85	$835.49	$835.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.78 / $408.00 / $678.24	Facility		$185.78	$408.00	$678.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $53.53 / $279.36	Professional		$44.04	$53.53	$279.36
United Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $278.39 / $544.00	Professional		$270.83	$278.39	$544.00