Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $149.40 / $180.00	Professional		$144.00	$149.40	$180.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $306.00 / $306.00	Facility		$153.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
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 $149.40 / $180.00 / $232.99	Facility		$149.40	$180.00	$232.99
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 $149.40 / $180.70 / $232.99	Facility		$149.40	$180.70	$232.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $225.00 / $225.00	Professional		$153.00	$225.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $207.00	Professional		$180.00	$180.00	$207.00