Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $158.60 / $158.60	Facility		$158.60	$158.60	$158.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $98.64 / $158.60	Professional		$98.64	$98.64	$158.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $112.73	Facility		$112.73	$112.73	$112.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $95.82 / $112.73	Professional		$15.59	$95.82	$112.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.58 / $468.81 / $508.49	Professional		$459.58	$468.81	$508.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $126.08 / $251.50	Facility		$25.18	$126.08	$251.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $148.93 / $193.46	Professional		$13.88	$148.93	$193.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $279.95 / $341.03	Facility		$212.80	$279.95	$341.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $341.03 / $341.03	Professional		$279.95	$341.03	$341.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $126.08 / $263.11	Facility		$25.18	$126.08	$263.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $18.87 / $112.73	Professional		$15.59	$18.87	$112.73
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $155.69	Professional		$84.23	$84.23	$155.69