Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $77.62	Professional		$30.90	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $208.93	Professional		$91.20	$165.96	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $93.33	Facility		$57.54	$74.13	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $95.50	Professional		$61.66	$72.44	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $89.13	Facility		$81.28	$87.10	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $95.50	Facility		$51.29	$75.86	$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 $34.67 / $38.02 / $60.26	Professional		$34.67	$38.02	$60.26