Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.08 / $313.08 / $313.08	Facility		$313.08	$313.08	$313.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $307.20 / $342.68	Professional		$301.86	$307.20	$342.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $330.77	Facility		$330.77	$330.77	$330.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $330.77 / $1,017.90	Professional		$35.97	$330.77	$1,017.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $925.47 / $1,003.79	Professional		$535.00	$925.47	$1,003.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $316.95 / $995.76	Facility		$40.86	$316.95	$995.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $40.86 / $95.42	Professional		$31.13	$40.86	$95.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.29 / $704.22 / $959.93	Facility		$586.29	$704.22	$959.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $586.29 / $704.22 / $714.22	Professional		$586.29	$704.22	$714.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $316.95 / $995.76	Facility		$40.86	$316.95	$995.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $57.66 / $330.77	Professional		$35.97	$57.66	$330.77
United Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $249.88 / $410.61	Professional		$249.88	$249.88	$410.61