Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $40.00 / $46.74	Professional		$19.42	$40.00	$46.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $99.69 / $119.15	Professional		$53.76	$99.69	$119.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $47.97 / $81.18	Facility		$30.53	$47.97	$81.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $51.07 / $56.45	Professional		$40.35	$51.07	$56.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $52.50 / $62.69	Facility		$23.50	$52.50	$62.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $47.97 / $81.18	Facility		$30.53	$47.97	$81.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $51.17 / $71.75	Professional		$22.57	$51.17	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $23.46 / $44.75	Professional		$22.08	$23.46	$44.75