Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.52 / $591.52 / $591.52	Facility		$591.52	$591.52	$591.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.94 / $329.94 / $591.52	Professional		$329.94	$329.94	$591.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $450.88	Facility		$450.88	$450.88	$450.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $383.25 / $450.88	Professional		$53.68	$383.25	$450.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,714.07 / $1,748.51 / $1,896.45	Professional		$1,714.07	$1,748.51	$1,896.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $71.51 / $1,171.96	Facility		$47.43	$71.51	$1,171.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $67.93 / $71.51	Professional		$49.77	$67.93	$71.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.01 / $797.50 / $971.50	Facility		$572.01	$797.50	$971.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $797.50 / $971.50 / $971.50	Professional		$797.50	$971.50	$971.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $329.94 / $1,171.96	Facility		$47.43	$329.94	$1,171.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $63.13 / $450.88	Professional		$53.68	$63.13	$450.88
United Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $418.10 / $557.46	Facility		$49.63	$418.10	$557.46
United Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $327.66 / $632.40	Professional		$289.68	$327.66	$632.40