Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $32.36	Facility		$30.90	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $32.36	Professional		$30.20	$30.90	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $52.48	Facility		$25.12	$40.74	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $28.84	Professional		$26.92	$26.92	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $75.86	Professional		$26.92	$64.57	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $69.18	Facility		$31.62	$45.71	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $46.77	Facility		$21.88	$26.92	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $40.74 / $85.11	Facility		$31.62	$40.74	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $79.43	Professional		$32.36	$32.36	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36