Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $76.56 / $85.45	Professional		$38.59	$76.56	$85.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $198.67 / $237.44	Professional		$93.77	$198.67	$237.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $88.92 / $141.59	Facility		$53.25	$88.92	$141.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $89.08 / $103.00	Professional		$70.39	$89.08	$103.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $91.57 / $98.95	Facility		$49.00	$91.57	$98.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $88.95 / $162.22	Facility		$53.25	$88.95	$162.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $89.25 / $118.45	Professional		$44.86	$89.25	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $46.62 / $88.95	Professional		$43.45	$46.62	$88.95