Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $174.00	Professional		$139.19	$144.41	$174.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $295.80 / $295.80	Facility		$147.90	$295.80	$295.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $175.00 / $194.25	Professional		$150.00	$175.00	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $174.00 / $225.22	Facility		$144.41	$174.00	$225.22
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 $144.41 / $174.00 / $225.22	Facility		$144.41	$174.00	$225.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $181.25 / $181.25	Professional		$147.90	$181.25	$181.25
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $166.75	Professional		$145.00	$145.00	$166.75