Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $61.66	Professional		$25.70	$54.95	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $173.78	Professional		$77.62	$138.04	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $77.62	Facility		$47.86	$61.66	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Professional		$51.29	$60.26	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $75.86	Facility		$66.07	$74.13	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $79.43	Facility		$43.65	$64.57	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $102.33	Professional		$31.62	$74.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $50.12	Professional		$29.51	$32.36	$50.12