Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $40.56 / $43.35	Professional		$18.67	$40.56	$43.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $96.14 / $114.91	Professional		$52.55	$96.14	$114.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $44.80 / $79.34	Facility		$29.85	$44.80	$79.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $49.92 / $55.18	Professional		$39.46	$49.92	$55.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $51.32 / $57.61	Facility		$23.50	$51.32	$57.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $45.52 / $79.34	Facility		$29.85	$45.52	$79.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $50.02 / $71.75	Professional		$21.70	$50.02	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $22.55 / $43.03	Professional		$21.02	$22.55	$43.03