Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $209.56	Professional		$167.65	$173.93	$209.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $356.26 / $356.26	Facility		$178.13	$356.26	$356.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
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 $173.93 / $209.56 / $271.24	Facility		$173.93	$209.56	$271.24
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 $173.93 / $209.56 / $271.24	Facility		$173.93	$209.56	$271.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $240.46 / $240.46	Professional		$178.13	$240.46	$240.46
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $233.34	Professional		$202.90	$202.90	$233.34