Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $47.95 / $53.75	Professional		$24.25	$47.95	$53.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $124.61 / $148.94	Professional		$58.72	$124.61	$148.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $55.53 / $88.67	Facility		$33.35	$55.53	$88.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $52.85 / $61.66	Professional		$44.09	$52.85	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $57.34 / $58.72	Facility		$22.50	$57.34	$58.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $55.89 / $88.67	Facility		$33.35	$55.89	$88.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $53.65 / $71.75	Professional		$28.19	$53.65	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $29.30 / $55.89	Professional		$27.31	$29.30	$55.89