Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $143.75 / $154.16	Professional		$72.70	$143.75	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $373.84 / $446.81	Professional		$176.06	$373.84	$446.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $154.16 / $265.85	Facility		$99.99	$154.16	$265.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $139.35 / $184.86	Professional		$132.18	$139.35	$184.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $171.93 / $193.67	Facility		$158.44	$171.93	$193.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $159.72 / $304.58	Facility		$111.76	$159.72	$304.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $146.68 / $206.32	Professional		$84.51	$146.68	$206.32
United Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $87.83 / $167.58	Professional		$82.68	$87.83	$167.58