Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $107.15	Professional		$38.02	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $245.47	Professional		$97.72	$194.98	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $120.23	Facility		$61.66	$81.28	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $102.33	Professional		$70.79	$75.86	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $95.50	Facility		$91.20	$93.33	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $120.23	Facility		$58.88	$87.10	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $117.49	Professional		$45.71	$79.43	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $69.18	Professional		$41.69	$45.71	$69.18