Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $250.56 / $358.08	Professional		$246.85	$250.56	$358.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $270.64	Professional		$270.64	$270.64	$270.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $87.82 / $350.78	Facility		$51.63	$87.82	$350.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $46.93 / $54.21	Professional		$42.65	$46.93	$54.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $87.82 / $343.27	Facility		$43.32	$87.82	$343.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $46.08 / $270.64	Professional		$39.29	$46.08	$270.64
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.25 / $47.00	Professional		$23.17	$26.25	$47.00