Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $41.69	Professional		$15.85	$33.88	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $109.65	Professional		$52.48	$87.10	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $52.48	Facility		$30.90	$41.69	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $54.95	Professional		$33.11	$40.74	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50.12 / $51.29	Facility		$48.98	$50.12	$51.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $52.48	Facility		$28.84	$42.66	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $50.12 / $79.43	Professional		$19.95	$50.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $31.62	Professional		$18.62	$20.42	$31.62