Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.13 / $543.78 / $651.51	Professional		$518.13	$543.78	$651.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.83 / $79,999.20 / $79,999.20	Facility		$486.83	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.75 / $593.75 / $950.00	Facility		$593.75	$593.75	$950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $593.75 / $624.83	Professional		$570.00	$593.75	$624.83