Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $309.88 / $438.72	Professional		$193.04	$309.88	$438.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $170.00 / $193.15	Professional		$142.05	$170.00	$193.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $170.65 / $221.38	Professional		$50.77	$170.65	$221.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $91.39 / $182.24	Facility		$36.90	$91.39	$182.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $229.97 / $229.97	Facility		$212.80	$229.97	$229.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $151.32 / $213.70	Professional		$51.29	$151.32	$213.70