Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $128.82	Facility		$81.28	$97.72	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $120.23	Facility		$81.28	$97.72	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398,832.92 / $2,398,832.92 / $2,398,832.92	Professional		$2,398,832.92	$2,398,832.92	$2,398,832.92
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65