Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $50.49 / $62.73	Professional		$25.28	$50.49	$62.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $130.32 / $155.74	Professional		$61.21	$130.32	$155.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $57.29 / $92.43	Facility		$34.77	$57.29	$92.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $55.09 / $64.27	Professional		$45.96	$55.09	$64.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $59.78 / $61.21	Facility		$22.50	$59.78	$61.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $57.64 / $92.43	Facility		$34.77	$57.64	$92.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $58.26 / $71.75	Professional		$29.38	$58.26	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $30.54 / $58.26	Professional		$29.06	$30.54	$58.26