Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $39.18 / $47.20	Professional		$37.76	$39.18	$47.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $80.23 / $80.23	Facility		$40.11	$80.23	$80.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
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 $39.18 / $47.20 / $61.10	Facility		$39.18	$47.20	$61.10
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 $7.63 / $39.18 / $53.68	Facility		$7.63	$39.18	$53.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $7.63 / $40.11	Professional		$7.34	$7.63	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $45.23	Professional		$39.33	$39.33	$45.23