Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $112.20	Facility		$38.02	$57.54	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $112.20	Facility		$43.65	$75.86	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65