Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $67.84 / $72.75	Professional		$32.00	$67.84	$72.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $164.48 / $196.61	Professional		$83.09	$164.48	$196.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $73.17 / $125.47	Facility		$47.18	$73.17	$125.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $75.00 / $87.24	Professional		$62.36	$75.00	$87.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $81.14 / $83.73	Facility		$36.00	$81.14	$83.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $75.38 / $125.47	Facility		$47.18	$75.38	$125.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $79.08 / $103.00	Professional		$37.20	$79.08	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $38.65 / $73.76	Professional		$36.79	$38.65	$73.76