Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $323.59	Facility		$134.90	$162.18	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $158.49	Professional		$128.82	$134.90	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $281.84	Professional		$109.65	$263.03	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $288.40	Facility		$147.91	$147.91	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $169.82	Professional		$131.83	$147.91	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $218.78 / $218.78	Facility		$181.97	$218.78	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Facility		$134.90	$194.98	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $263.03	Professional		$79.43	$138.04	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13