Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $575.44	Professional		$229.09	$354.81	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $177.83	Professional		$151.36	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $251.19	Facility		$77.62	$147.91	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $239.88	Facility		$154.88	$204.17	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $257.04	Facility		$100.00	$158.49	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78