Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $213.82 / $213.82	Facility		$213.82	$213.82	$213.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $193.44 / $241.52	Professional		$193.44	$193.44	$241.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $193.40	Facility		$193.40	$193.40	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $193.40 / $603.15	Professional		$23.77	$193.40	$603.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $632.04 / $685.52	Professional		$475.00	$632.04	$685.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $58.60 / $265.01	Facility		$27.22	$58.60	$265.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $27.22 / $58.73	Professional		$20.74	$27.22	$58.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.40 / $480.93 / $590.76	Facility		$400.40	$480.93	$590.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $400.40 / $480.93 / $487.76	Professional		$400.40	$480.93	$487.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $74.37 / $509.00	Facility		$27.22	$74.37	$509.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $36.95 / $193.40	Professional		$23.77	$36.95	$193.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $28.50 / $349.09	Professional		$17.10	$28.50	$349.09