Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $64.23 / $72.59	Professional		$31.13	$64.23	$72.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $160.22 / $191.50	Professional		$78.66	$160.22	$191.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $71.37 / $118.78	Facility		$44.68	$71.37	$118.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $74.73 / $82.59	Professional		$59.06	$74.73	$82.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $75.39 / $78.66	Facility		$36.00	$75.39	$78.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $71.75 / $118.78	Facility		$44.68	$71.75	$118.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $74.87 / $103.00	Professional		$36.19	$74.87	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $37.61 / $71.75	Professional		$35.79	$37.61	$71.75