Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $78.56 / $84.26	Professional		$39.72	$78.56	$84.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $204.36 / $244.27	Professional		$96.22	$204.36	$244.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.65 / $96.04 / $145.29	Facility		$54.65	$96.04	$145.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $91.41 / $103.97	Professional		$70.83	$91.41	$103.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $93.97 / $111.32	Facility		$49.00	$93.97	$111.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.65 / $91.59 / $166.46	Facility		$54.65	$91.59	$166.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $87.91 / $118.45	Professional		$46.19	$87.91	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $48.01 / $91.59	Professional		$45.19	$48.01	$91.59