Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Facility		$741.31	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $1,513.56	Facility		$758.58	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $1,071.52	Facility		$354.81	$776.25	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $741.31 / $758.58	Professional		$354.81	$741.31	$758.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Facility		$724.44	$891.25	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $1,380.38	Professional		$79.43	$758.58	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26