Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.42 / $216.64 / $259.56	Professional		$206.42	$216.64	$259.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $171.14 / $329.46	Facility		$145.47	$171.14	$329.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $206.16 / $319.74	Professional		$196.76	$206.16	$319.74