Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $55.37 / $66.50	Professional		$27.59	$55.37	$66.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $141.71 / $169.36	Professional		$67.81	$141.71	$169.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $67.69 / $102.41	Facility		$38.51	$67.69	$102.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $55.17 / $71.20	Professional		$50.91	$55.17	$71.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $66.23 / $67.81	Facility		$23.50	$66.23	$67.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $64.55 / $108.66	Facility		$38.51	$64.55	$108.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $64.55 / $71.75	Professional		$32.08	$64.55	$71.75
United Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $33.34 / $63.61	Professional		$31.38	$33.34	$63.61