Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $81.28	Professional		$32.36	$66.07	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $208.93	Professional		$93.33	$165.96	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $95.50	Facility		$57.54	$74.13	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $97.72	Professional		$63.10	$72.44	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $91.20	Facility		$85.11	$89.13	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $95.50	Facility		$52.48	$77.62	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $79.43 / $117.49	Professional		$38.02	$79.43	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $60.26	Professional		$35.48	$38.90	$60.26