Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $71.26 / $76.42	Professional		$33.68	$71.26	$76.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $173.03 / $206.82	Professional		$87.28	$173.03	$206.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $84.56 / $131.79	Facility		$49.57	$84.56	$131.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $68.93 / $91.64	Professional		$52.00	$68.93	$91.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $85.23 / $100.17	Facility		$23.50	$85.23	$100.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $83.07 / $132.65	Facility		$49.57	$83.07	$132.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $71.75 / $90.89	Professional		$39.15	$71.75	$90.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $40.70 / $77.65	Professional		$38.31	$40.70	$77.65