Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $76.93 / $82.50	Professional		$35.29	$76.93	$82.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $181.59 / $217.03	Professional		$94.22	$181.59	$217.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $81.61 / $142.27	Facility		$53.50	$81.61	$142.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $78.50 / $98.93	Professional		$70.72	$78.50	$98.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $89.28 / $94.22	Facility		$36.00	$89.28	$94.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $85.49 / $142.27	Facility		$53.50	$85.49	$142.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $86.07 / $103.00	Professional		$41.03	$86.07	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $42.65 / $81.36	Professional		$40.58	$42.65	$81.36