Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $44.19 / $53.24	Professional		$42.59	$44.19	$53.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $90.50 / $90.50	Facility		$45.25	$90.50	$90.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
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 $44.19 / $48.61 / $68.91	Facility		$44.19	$48.61	$68.91
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 $37.47 / $44.19 / $63.19	Facility		$37.47	$44.19	$63.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $37.47 / $45.25	Professional		$35.97	$37.47	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $53.23	Professional		$44.36	$44.36	$53.23