Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $330.13 / $330.13	Facility		$330.13	$330.13	$330.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $315.89 / $335.82	Professional		$315.89	$315.89	$335.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Facility		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $279.64 / $953.85	Professional		$41.42	$279.64	$953.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $975.82 / $1,058.38	Professional		$505.00	$975.82	$1,058.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $335.82 / $909.36	Facility		$52.72	$335.82	$909.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $52.72 / $89.24	Professional		$40.17	$52.72	$89.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.20 / $742.54 / $897.71	Facility		$618.20	$742.54	$897.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $618.20 / $742.54 / $753.08	Professional		$618.20	$742.54	$753.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $329.00 / $909.36	Facility		$52.72	$329.00	$909.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $64.18 / $279.64	Professional		$42.96	$64.18	$279.64
United Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $208.96 / $348.26	Professional		$208.96	$208.96	$348.26