Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $48.98	Professional		$16.98	$37.15	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $114.82	Professional		$44.67	$93.33	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $54.95	Facility		$29.51	$38.02	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $46.77	Professional		$32.36	$36.31	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $44.67	Facility		$42.66	$43.65	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $42.66 / $54.95	Facility		$27.54	$42.66	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $102.33	Professional		$21.38	$42.66	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $36.31	Professional		$19.50	$21.38	$36.31