Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $44.67 / $54.95	Professional		$21.88	$44.67	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $144.54	Professional		$54.95	$114.82	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50.12 / $67.61	Facility		$35.48	$50.12	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $57.54	Professional		$40.74	$43.65	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $67.61	Facility		$52.48	$53.70	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $64.57	Facility		$33.88	$51.29	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $79.43	Professional		$26.30	$52.48	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $40.74	Professional		$23.99	$26.92	$40.74