Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $119.23 / $152.72	Professional		$59.14	$119.23	$152.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $304.07 / $363.42	Professional		$146.01	$304.07	$363.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $126.46 / $220.48	Facility		$82.93	$126.46	$220.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $138.71 / $153.31	Professional		$109.63	$138.71	$153.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $142.59 / $146.01	Facility		$139.85	$142.59	$146.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $136.31 / $252.60	Facility		$92.68	$136.31	$252.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $118.45 / $152.08	Professional		$68.73	$118.45	$152.08
United Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $71.45 / $136.31	Professional		$67.25	$71.45	$136.31