Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,202.26	Professional		$954.99	$1,000.00	$1,202.26
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 $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $977.24	Professional		$562.34	$616.60	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $831.76	Facility		$741.31	$741.31	$831.76