Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $167.15 / $274.00	Professional		$103.63	$167.15	$274.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $150.00 / $178.00	Professional		$76.09	$150.00	$178.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $131.63 / $136.72	Professional		$27.06	$131.63	$136.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $67.31 / $113.23	Facility		$19.60	$67.31	$113.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $142.44 / $142.44	Facility		$131.69	$142.44	$142.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $80.80 / $132.25	Professional		$26.20	$80.80	$132.25