Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,148.15	Professional		$501.19	$602.56	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $645.65	Professional		$269.15	$331.13	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $489.78	Facility		$316.23	$467.74	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,659,586.91	Facility		$616.60	$616.60	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $630.96	Professional		$245.47	$416.87	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $630.96	Professional		$194.98	$354.81	$630.96