Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.64 / $97.64 / $107.56	Facility		$97.64	$97.64	$107.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $51.14 / $51.14	Facility		$51.14	$51.14	$51.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $99.29 / $111.80	Professional		$77.22	$99.29	$111.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $78.59 / $109.65	Facility		$43.06	$78.59	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $85.09 / $89.78	Facility		$63.95	$85.09	$89.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $78.78 / $115.84	Facility		$44.31	$78.78	$115.84