Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,664.17 / $5,664.17 / $6,786.32	Professional		$5,664.17	$5,664.17	$6,786.32
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 $1,851.48 / $2,895.10 / $3,064.58	Facility		$1,851.48	$2,895.10	$3,064.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,665.70 / $3,909.50 / $3,909.50	Facility		$3,665.70	$3,909.50	$3,909.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,807.16 / $3,180.89 / $4,191.81	Professional		$2,807.16	$3,180.89	$4,191.81