Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Professional		$263.03	$263.03	$316.23
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 $100.00 / $120.23 / $199.53	Facility		$100.00	$120.23	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $128.82	Facility		$57.54	$93.33	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23