Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $61.66	Professional		$25.12	$52.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $165.96	Professional		$63.10	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $70.79	Facility		$41.69	$56.23	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $66.07	Professional		$45.71	$48.98	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $61.66	Facility		$60.26	$60.26	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $74.13	Facility		$38.90	$58.88	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $79.43	Professional		$30.20	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $45.71	Professional		$25.70	$30.20	$45.71