Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $51.93 / $54.01	Professional		$22.56	$51.93	$54.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $116.08 / $138.74	Professional		$63.60	$116.08	$138.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $54.21 / $96.04	Facility		$36.11	$54.21	$96.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $52.99 / $66.78	Professional		$47.74	$52.99	$66.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $54.62 / $63.60	Facility		$23.50	$54.62	$63.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $55.08 / $96.04	Facility		$36.11	$55.08	$96.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $58.10 / $71.75	Professional		$26.22	$58.10	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $27.25 / $51.99	Professional		$25.65	$27.25	$51.99