Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $86.05 / $92.29	Professional		$36.65	$86.05	$92.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $188.71 / $228.09	Professional		$105.40	$188.71	$228.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $91.28 / $159.15	Facility		$59.86	$91.28	$159.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $87.81 / $110.67	Professional		$79.12	$87.81	$110.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $103.36 / $115.94	Facility		$102.93	$103.36	$115.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $83.74 / $83.74	Professional		$83.74	$83.74	$83.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $93.45 / $159.15	Facility		$59.86	$93.45	$159.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $71.75 / $109.76	Professional		$42.61	$71.75	$109.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.29 / $84.51	Professional		$41.69	$44.29	$84.51