Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.38 / $1,806.38 / $2,164.25	Professional		$1,806.38	$1,806.38	$2,164.25
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 $711.00 / $711.00 / $711.00	Professional		$711.00	$711.00	$711.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $878.08 / $932.96	Facility		$664.73	$878.08	$932.96