Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $43.63 / $46.79	Professional		$22.07	$43.63	$46.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $113.22 / $135.32	Professional		$53.44	$113.22	$135.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $51.31 / $80.69	Facility		$28.32	$51.31	$80.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $50.77 / $56.11	Professional		$40.11	$50.77	$56.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.19 / $53.44 / $71.25	Facility		$52.19	$53.44	$71.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $51.31 / $92.45	Facility		$30.35	$51.31	$92.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $48.83 / $103.00	Professional		$25.65	$48.83	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $26.66 / $50.86	Professional		$25.10	$26.66	$50.86