Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $99.37 / $119.06	Professional		$99.37	$99.37	$119.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.48 / $108.80 / $112.01	Facility		$76.48	$108.80	$112.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $108.65 / $108.65	Professional		$108.65	$108.65	$108.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $108.80 / $115.83	Facility		$79.14	$108.80	$115.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $108.65 / $108.65	Professional		$108.65	$108.65	$108.65