Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $75.86	Professional		$60.26	$63.10	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $177.83	Professional		$97.72	$134.90	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $275.42	Facility		$58.88	$120.23	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $107.15	Facility		$87.10	$104.71	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $275.42 / $275.42	Facility		$61.66	$275.42	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $288.40	Professional		$117.49	$263.03	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $309.03	Professional		$275.42	$275.42	$309.03