Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $80.36 / $85.33	Professional		$40.64	$80.36	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $47.24	Professional		$47.24	$47.24	$47.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $209.36 / $250.21	Professional		$98.42	$209.36	$250.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $98.23 / $148.61	Facility		$55.90	$98.23	$148.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $93.50 / $103.34	Professional		$72.45	$93.50	$103.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $96.12 / $98.42	Facility		$47.50	$96.12	$98.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $93.68 / $170.27	Facility		$55.90	$93.68	$170.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $93.68 / $118.45	Professional		$47.24	$93.68	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $49.10 / $93.68	Professional		$46.73	$49.10	$93.68