Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.30 / $973.30 / $1,166.11	Professional		$973.30	$973.30	$1,166.11
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 $669.54 / $669.54 / $669.54	Professional		$669.54	$669.54	$669.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.97 / $495.95 / $520.59	Facility		$375.97	$495.95	$520.59
United Facility/Professional Professional Modifier Low / Median / High Price $214.05 / $279.20 / $721.69	Professional		$214.05	$279.20	$721.69