Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $72.44	Professional		$32.36	$66.07	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $208.93	Professional		$85.11	$165.96	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $72.44 / $89.13	Facility		$53.70	$72.44	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $89.13	Professional		$60.26	$66.07	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Facility		$81.28	$81.28	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $72.44 / $89.13	Facility		$46.77	$72.44	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $79.43 / $102.33	Professional		$38.02	$79.43	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $58.88	Professional		$34.67	$38.90	$58.88