Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $912.01	Professional		$380.19	$467.74	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $660.69 / $1,412.54	Professional		$44.67	$660.69	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,348.96	Professional		$1,000.00	$1,202.26	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $125.89 / $407.38	Facility		$38.02	$125.89	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $295.12 / $1,122.02	Professional		$120.23	$295.12	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $1,258.93	Facility		$776.25	$933.25	$1,258.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $933.25	Professional		$776.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $512.86 / $1,445.44	Facility		$51.29	$512.86	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $562.34 / $794.33	Professional		$74.13	$562.34	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $467.74 / $630.96	Facility		$36.31	$467.74	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $660.69	Professional		$398.11	$446.68	$660.69