Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $85.11 / $95.50	Professional		$40.74	$85.11	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $269.15	Professional		$107.15	$213.80	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $117.49	Facility		$70.79	$91.20	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $112.20	Professional		$75.86	$83.18	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $117.49	Facility		$102.33	$104.71	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $117.49	Facility		$66.07	$95.50	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $102.33	Professional		$48.98	$83.18	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $75.86	Professional		$39.81	$50.12	$75.86