Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $37.29 / $111.08	Professional		$35.96	$37.29	$111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $89.88 / $89.88	Facility		$44.94	$89.88	$89.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $53.00	Professional		$44.94	$44.94	$53.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $67.84 / $80.54	Professional		$55.12	$67.84	$80.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $44.94 / $83.30	Facility		$37.29	$44.94	$83.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $44.94 / $44.94	Professional		$21.13	$44.94	$44.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $79,999.20 / $79,999.20	Facility		$44.51	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $44.94 / $83.30	Facility		$34.78	$44.94	$83.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $35.04 / $48.76	Professional		$34.78	$35.04	$48.76
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $58.58	Professional		$50.94	$50.94	$58.58