Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $45.14 / $48.90	Professional		$20.32	$45.14	$48.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $104.67 / $127.63	Professional		$59.29	$104.67	$127.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $50.52 / $89.53	Facility		$33.65	$50.52	$89.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $52.00 / $62.25	Professional		$44.50	$52.00	$62.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $50.40 / $59.29	Facility		$23.50	$50.40	$59.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $51.35 / $89.53	Facility		$33.65	$51.35	$89.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $56.43 / $71.75	Professional		$23.63	$56.43	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $24.56 / $46.85	Professional		$23.11	$24.56	$46.85