Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $77.73 / $88.25	Professional		$38.13	$77.73	$88.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $195.83 / $234.06	Professional		$95.21	$195.83	$234.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $87.89 / $143.77	Facility		$54.06	$87.89	$143.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $90.45 / $103.00	Professional		$71.45	$90.45	$103.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $92.34 / $95.21	Facility		$49.00	$92.34	$95.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $90.62 / $164.71	Facility		$56.72	$90.62	$164.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $90.62 / $118.45	Professional		$44.32	$90.62	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $46.07 / $87.89	Professional		$43.84	$46.07	$87.89