Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $58.77 / $63.03	Professional		$29.72	$58.77	$63.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $153.10 / $182.99	Professional		$71.98	$153.10	$182.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $66.53 / $108.69	Facility		$40.88	$66.53	$108.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $68.38 / $79.56	Professional		$52.98	$68.38	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $70.29 / $82.65	Facility		$36.00	$70.29	$82.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $66.53 / $108.69	Facility		$40.88	$66.53	$108.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $65.76 / $103.00	Professional		$34.54	$65.76	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $35.90 / $68.51	Professional		$33.46	$35.90	$68.51