Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $194.98	Professional		$87.10	$123.03	$194.98
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 $26.92 / $52.48 / $87.10	Facility		$26.92	$52.48	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $81.28	Facility		$56.23	$69.18	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $89.13	Facility		$38.02	$56.23	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07