Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $45.01 / $48.27	Professional		$21.45	$45.01	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $110.38 / $131.91	Professional		$55.12	$110.38	$131.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $52.62 / $83.23	Facility		$31.31	$52.62	$83.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $52.00 / $57.88	Professional		$41.39	$52.00	$57.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $53.83 / $56.03	Facility		$23.50	$53.83	$56.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $52.47 / $83.23	Facility		$31.31	$52.47	$83.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $52.47 / $71.75	Professional		$24.93	$52.47	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $25.91 / $49.44	Professional		$24.66	$25.91	$49.44