Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $85.17 / $89.50	Professional		$39.42	$85.17	$89.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $202.95 / $242.55	Professional		$108.51	$202.95	$242.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.63 / $93.24 / $163.85	Facility		$61.63	$93.24	$163.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $103.00 / $113.94	Professional		$81.45	$103.00	$113.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $98.19 / $108.51	Facility		$49.00	$98.19	$108.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.63 / $93.98 / $187.72	Facility		$61.63	$93.98	$187.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $103.28 / $118.45	Professional		$45.83	$103.28	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $47.63 / $90.87	Professional		$45.32	$47.63	$90.87