Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.28 / $136.28 / $136.28	Facility		$136.28	$136.28	$136.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $88.80 / $136.28	Professional		$88.80	$88.80	$136.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $54.54 / $64.17	Professional		$13.43	$54.54	$64.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $402.84 / $436.93	Professional		$394.91	$402.84	$436.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $121.66 / $224.10	Facility		$21.50	$121.66	$224.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $127.34 / $169.79	Professional		$12.79	$127.34	$169.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.10 / $240.90 / $293.45	Facility		$211.10	$240.90	$293.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $293.45 / $293.45	Professional		$240.90	$293.45	$293.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $121.66 / $249.48	Facility		$21.50	$121.66	$249.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $16.98 / $64.17	Professional		$13.46	$16.98	$64.17
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $145.80	Professional		$72.31	$72.31	$145.80