Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $105.33 / $130.16	Professional		$53.27	$105.33	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $274.14 / $327.66	Professional		$129.00	$274.14	$327.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $116.10 / $194.79	Facility		$73.26	$116.10	$194.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $101.90 / $135.44	Professional		$96.85	$101.90	$135.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $125.98 / $129.00	Facility		$47.50	$125.98	$129.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $122.78 / $223.17	Facility		$73.26	$122.78	$223.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $118.45 / $134.35	Professional		$61.92	$118.45	$134.35
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $64.36 / $122.78	Professional		$60.58	$64.36	$122.78