Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $81.51 / $84.79	Professional		$38.18	$81.51	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $196.54 / $234.89	Professional		$99.82	$196.54	$234.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $86.46 / $150.72	Facility		$56.71	$86.46	$150.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $86.00 / $104.81	Professional		$74.95	$86.00	$104.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $97.48 / $123.28	Facility		$36.00	$97.48	$123.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $88.52 / $150.72	Facility		$56.71	$88.52	$150.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $95.01 / $103.96	Professional		$44.38	$95.01	$103.96
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $46.13 / $88.01	Professional		$43.42	$46.13	$88.01