Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $53.91 / $62.76	Professional		$24.57	$53.91	$62.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $126.04 / $150.63	Professional		$66.03	$126.04	$150.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $57.18 / $99.71	Facility		$37.49	$57.18	$99.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $55.01 / $69.33	Professional		$49.56	$55.01	$69.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $59.51 / $66.03	Facility		$23.50	$59.51	$66.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $58.54 / $99.71	Facility		$37.49	$58.54	$99.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $62.85 / $71.75	Professional		$28.56	$62.85	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $29.69 / $56.64	Professional		$28.25	$29.69	$56.64