Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $81.20 / $96.56	Professional		$36.34	$81.20	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $186.56 / $222.99	Professional		$99.47	$186.56	$222.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $86.14 / $150.19	Facility		$56.49	$86.14	$150.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $94.50 / $104.44	Professional		$74.75	$94.50	$104.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $97.14 / $99.47	Facility		$85.95	$97.14	$99.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $88.19 / $150.19	Facility		$60.14	$88.19	$150.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $82.87 / $116.57	Professional		$42.25	$82.87	$116.57
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $43.91 / $83.78	Professional		$40.60	$43.91	$83.78