Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.74 / $1,807.74 / $2,165.88	Professional		$1,807.74	$1,807.74	$2,165.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $653.08 / $757.48 / $865.28	Professional		$653.08	$757.48	$865.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.39 / $744.42 / $893.11	Facility		$593.39	$744.42	$893.11