Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $85.57 / $91.77	Professional		$41.50	$85.57	$91.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $213.62 / $255.31	Professional		$104.80	$213.62	$255.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $95.05 / $158.25	Facility		$59.53	$95.05	$158.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $82.05 / $110.04	Professional		$75.00	$82.05	$110.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $102.34 / $117.18	Facility		$36.00	$102.34	$117.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $95.10 / $158.25	Facility		$59.53	$95.10	$158.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $95.75 / $109.15	Professional		$48.24	$95.75	$109.15
United Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $50.14 / $95.66	Professional		$47.71	$50.14	$95.66