Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $61.66	Professional		$23.99	$52.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $158.49	Professional		$67.61	$125.89	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $74.13	Facility		$41.69	$56.23	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $70.79	Professional		$48.98	$52.48	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $66.07	Facility		$57.54	$64.57	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $72.44	Facility		$39.81	$57.54	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $79.43	Professional		$28.84	$64.57	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $44.67	Professional		$25.70	$29.51	$44.67