Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Facility		$615.26	$615.26	$615.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.07 / $600.79 / $723.84	Professional		$579.07	$600.79	$723.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,230.52 / $1,230.52	Facility		$615.26	$1,230.52	$1,230.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $615.26 / $615.26	Professional		$615.26	$615.26	$615.26
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 $600.79 / $723.84 / $936.93	Facility		$600.79	$723.84	$936.93
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 $600.79 / $726.66 / $936.93	Facility		$600.79	$726.66	$936.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $904.80 / $904.80	Professional		$615.26	$904.80	$904.80
United Facility/Professional Professional Modifier Low / Median / High Price $723.84 / $723.84 / $868.61	Professional		$723.84	$723.84	$868.61