Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $79.80 / $90.76	Professional		$37.79	$79.80	$90.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $194.40 / $232.34	Professional		$103.66	$194.40	$232.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $88.36 / $156.53	Facility		$58.87	$88.36	$156.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $83.50 / $108.84	Professional		$75.00	$83.50	$108.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $101.23 / $122.04	Facility		$36.00	$101.23	$122.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $89.78 / $156.53	Facility		$58.87	$89.78	$156.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $98.66 / $107.95	Professional		$43.93	$98.66	$107.95
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $45.66 / $87.12	Professional		$42.98	$45.66	$87.12