Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $70.79 / $95.50	Professional		$33.11	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $218.78	Professional		$89.13	$173.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $112.20	Facility		$56.23	$74.13	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $93.33	Professional		$52.48	$70.79	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $100.00	Facility		$85.11	$87.10	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $77.62 / $112.20	Facility		$50.12	$77.62	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $87.10	Professional		$39.81	$72.44	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $61.66	Professional		$31.62	$40.74	$61.66