Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $97.72	Facility		$50.12	$63.10	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $97.72	Facility		$50.12	$60.26	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Professional		$30.20	$30.20	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $131.83	Professional		$60.26	$93.33	$131.83