Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $22.14 / $26.53	Professional		$21.10	$22.14	$26.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $154.66 / $154.66	Facility		$154.66	$154.66	$154.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $79,999.20 / $79,999.20	Facility		$28.70	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $23.32	Facility		$22.43	$22.43	$23.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $29.85	Professional		$22.43	$22.43	$29.85