Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $275.42	Professional		$102.33	$165.96	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $177.83	Professional		$75.86	$151.36	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $87.10 / $112.20	Facility		$22.39	$87.10	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $12.02	Professional		$8.13	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $39.81 / $72.44	Professional		$12.59	$39.81	$72.44