Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $61.66	Facility		$16.98	$34.67	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $23.44	Professional		$16.98	$17.38	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.44 / $32.36	Facility		$16.22	$23.44	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $18.62	Professional		$17.38	$17.38	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $45.71	Professional		$17.38	$38.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $75.86	Facility		$17.38	$18.20	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.20 / $75.86	Professional		$17.38	$18.20	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $38.02	Facility		$18.20	$22.91	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $50.12	Facility		$17.38	$24.55	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $79.43	Professional		$17.78	$20.42	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38