Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $87.64 / $105.64	Professional		$44.15	$87.64	$105.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $227.15 / $271.48	Professional		$106.94	$227.15	$271.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $105.59 / $161.47	Facility		$60.73	$105.59	$161.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $98.00 / $112.29	Professional		$80.28	$98.00	$112.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $104.43 / $106.94	Facility		$47.50	$104.43	$106.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $105.59 / $185.01	Facility		$67.88	$105.59	$185.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $101.78 / $118.45	Professional		$51.33	$101.78	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $53.35 / $101.78	Professional		$50.22	$53.35	$101.78