Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $87.10	Professional		$37.15	$75.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $245.47	Professional		$104.71	$194.98	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $117.49	Facility		$66.07	$85.11	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $112.20	Professional		$67.61	$81.28	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $123.03	Facility		$102.33	$104.71	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $107.15	Facility		$58.88	$89.13	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $102.33	Professional		$44.67	$83.18	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $69.18	Professional		$39.81	$45.71	$69.18