Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $54.21 / $65.72	Professional		$25.64	$54.21	$65.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $131.72 / $160.60	Professional		$75.06	$131.72	$160.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $63.97 / $113.34	Facility		$42.63	$63.97	$113.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $71.31 / $79.56	Professional		$56.35	$71.31	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $65.81 / $75.06	Facility		$36.00	$65.81	$75.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $65.00 / $113.34	Facility		$42.63	$65.00	$113.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $71.44 / $103.00	Professional		$29.80	$71.44	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $30.97 / $59.09	Professional		$29.15	$30.97	$59.09