Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $65.41 / $73.83	Professional		$31.10	$65.41	$73.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $160.22 / $191.50	Professional		$80.09	$160.22	$191.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $79.73 / $120.95	Facility		$45.51	$79.73	$120.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $64.54 / $84.11	Professional		$52.00	$64.54	$84.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $76.34 / $80.09	Facility		$23.50	$76.34	$80.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $76.23 / $120.95	Facility		$45.51	$76.23	$120.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $71.75 / $83.43	Professional		$36.14	$71.75	$83.43
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $37.57 / $71.68	Professional		$35.75	$37.57	$71.68