Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $81.28	Professional		$30.90	$66.07	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $204.17	Professional		$81.28	$162.18	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $97.72	Facility		$51.29	$70.79	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $85.11	Professional		$52.48	$64.57	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $79.43	Facility		$74.13	$77.62	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $97.72	Facility		$45.71	$77.62	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $72.44 / $79.43	Professional		$37.15	$72.44	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $56.23	Professional		$29.51	$37.15	$56.23