Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $69.26 / $78.84	Professional		$31.83	$69.26	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $163.79 / $195.75	Professional		$90.04	$163.79	$195.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $74.26 / $135.96	Facility		$49.70	$74.26	$135.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $85.54 / $99.04	Professional		$67.59	$85.54	$99.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $82.59 / $90.04	Facility		$49.00	$82.59	$90.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $77.97 / $151.30	Facility		$51.14	$77.97	$151.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $85.70 / $118.45	Professional		$37.00	$85.70	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $38.45 / $73.37	Professional		$36.59	$38.45	$73.37