Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $295.12	Professional		$109.65	$223.87	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $724.44	Professional		$275.42	$575.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $269.15	Facility		$162.18	$204.17	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $288.40	Professional		$199.53	$213.80	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $288.40	Facility		$263.03	$269.15	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $338.84	Facility		$151.36	$245.47	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $2,570,395.78	Professional		$79.43	$131.83	$2,570,395.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $208.93	Professional		$120.23	$134.90	$208.93