Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.71 / $378.38 / $577.35	Professional		$235.71	$378.38	$577.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $170.00 / $178.00	Professional		$150.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $219.87 / $307.44	Facility		$146.91	$219.87	$307.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $172.52 / $172.52	Professional		$172.52	$172.52	$172.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.68 / $204.06 / $239.86	Facility		$142.68	$204.06	$239.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.82 / $215.80 / $310.25	Facility		$145.82	$215.80	$310.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $172.52 / $172.52	Professional		$172.52	$172.52	$172.52