Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,471.19 / $3,471.19 / $4,158.88	Professional		$3,471.19	$3,471.19	$4,158.88
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 $1,243.52 / $1,530.04 / $1,711.36	Professional		$1,243.52	$1,530.04	$1,711.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,277.14 / $1,597.20 / $1,783.54	Facility		$1,277.14	$1,597.20	$1,783.54