Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $74.25 / $90.08	Professional		$36.60	$74.25	$90.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $187.99 / $224.68	Professional		$102.88	$187.99	$224.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $87.26 / $155.35	Facility		$58.43	$87.26	$155.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.87 / $108.02	Professional		$75.00	$82.87	$108.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $100.47 / $118.19	Facility		$36.00	$100.47	$118.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $89.09 / $155.35	Facility		$58.43	$89.09	$155.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $93.99 / $107.14	Professional		$42.55	$93.99	$107.14
United Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $44.22 / $84.37	Professional		$42.08	$44.22	$84.37