Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $1,847.00 / $9,997.10	Professional		$541.35	$1,847.00	$9,997.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $76.47	Professional		$76.47	$76.47	$76.47
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 Facility Modifier Low / Median / High Price $4,358.80 / $4,358.80 / $4,358.80	Facility		$4,358.80	$4,358.80	$4,358.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.00 / $1,128.00 / $1,344.00	Professional		$1,030.00	$1,128.00	$1,344.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.64 / $291.64 / $291.64	Facility		$291.64	$291.64	$291.64