Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $49.22 / $63.09	Professional		$25.41	$49.22	$63.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $131.01 / $159.75	Professional		$76.48	$131.01	$159.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $63.09 / $115.50	Facility		$43.44	$63.09	$115.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $72.67 / $80.31	Professional		$57.42	$72.67	$80.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $65.94 / $76.48	Facility		$36.00	$65.94	$76.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $66.23 / $115.50	Facility		$43.44	$66.23	$115.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $72.81 / $103.00	Professional		$29.54	$72.81	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $30.70 / $58.57	Professional		$28.90	$30.70	$58.57