Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.05 / $53.05 / $79.05	Facility		$53.05	$53.05	$79.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Facility		$36.29	$36.29	$36.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $73.68 / $83.00	Professional		$56.51	$73.68	$83.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $44.58 / $78.95	Facility		$30.65	$44.58	$78.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $60.97 / $63.65	Facility		$44.64	$60.97	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $49.66 / $81.52	Facility		$31.85	$49.66	$81.52