Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $48.67 / $55.22	Professional		$24.61	$48.67	$55.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $126.75 / $151.50	Professional		$59.61	$126.75	$151.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $55.94 / $90.01	Facility		$33.56	$55.94	$90.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $56.63 / $62.59	Professional		$44.79	$56.63	$62.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $58.21 / $65.56	Facility		$53.65	$58.21	$65.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $56.74 / $103.13	Facility		$33.85	$56.74	$103.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $56.74 / $118.45	Professional		$28.61	$56.74	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.74 / $56.74	Professional		$27.99	$29.74	$56.74