Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $79.81 / $85.68	Professional		$37.61	$79.81	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $193.69 / $231.48	Professional		$97.84	$193.69	$231.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $84.74 / $147.74	Facility		$55.57	$84.74	$147.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $92.95 / $103.00	Professional		$73.45	$92.95	$103.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $94.30 / $97.84	Facility		$49.00	$94.30	$97.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $87.38 / $169.26	Facility		$55.85	$87.38	$169.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $93.13 / $118.45	Professional		$43.73	$93.13	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $45.45 / $86.71	Professional		$43.25	$45.45	$86.71