Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $143.52 / $195.71	Professional		$89.41	$143.52	$195.71
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 $51.64 / $78.66 / $104.16	Facility		$51.64	$78.66	$104.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $69.54 / $81.73	Facility		$51.24	$69.54	$81.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $77.34 / $105.40	Facility		$50.52	$77.34	$105.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06