Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $264.66 / $317.08	Professional		$252.17	$264.66	$317.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.22 / $583.83 / $642.47	Professional		$415.22	$583.83	$642.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $682.23 / $79,999.20	Facility		$368.71	$682.23	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.27 / $325.31 / $443.50	Facility		$261.27	$325.31	$443.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $286.36 / $355.45	Professional		$250.82	$286.36	$355.45