Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $218.78	Facility		$22.91	$51.29	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $91.20	Professional		$19.95	$25.12	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $46.77 / $66.07	Facility		$19.50	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $22.39	Professional		$20.42	$20.42	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $54.95 / $64.57	Professional		$20.42	$54.95	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.88 / $54.95	Facility		$20.42	$21.88	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $35.48	Professional		$20.42	$22.91	$35.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $52.48	Facility		$25.12	$31.62	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $46.77 / $104.71	Facility		$20.42	$46.77	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.12 / $79.43	Professional		$16.22	$25.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $23.99	Professional		$20.42	$20.42	$23.99