Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $61.66	Professional		$25.12	$52.48	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $165.96	Professional		$75.86	$131.83	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $75.86	Facility		$46.77	$61.66	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $81.28	Professional		$48.98	$60.26	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $75.86	Facility		$64.57	$74.13	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $77.62	Facility		$42.66	$63.10	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $102.33	Professional		$30.20	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $48.98	Professional		$28.18	$30.90	$48.98