Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $44.91 / $48.41	Professional		$20.45	$44.91	$48.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $105.38 / $125.95	Professional		$55.29	$105.38	$125.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $50.16 / $83.49	Facility		$31.40	$50.16	$83.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $52.53 / $58.05	Professional		$41.51	$52.53	$58.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $53.99 / $66.06	Facility		$23.50	$53.99	$66.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $50.16 / $83.49	Facility		$31.40	$50.16	$83.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $52.62 / $71.75	Professional		$23.78	$52.62	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $24.71 / $47.15	Professional		$23.26	$24.71	$47.15