Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $58.10 / $62.31	Professional		$25.97	$58.10	$62.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $133.87 / $159.99	Professional		$71.16	$133.87	$159.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $69.70 / $107.45	Facility		$33.33	$69.70	$107.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $67.59 / $74.72	Professional		$53.48	$67.59	$74.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $69.48 / $71.16	Facility		$61.41	$69.48	$71.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $69.70 / $123.11	Facility		$40.42	$69.70	$123.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $67.73 / $118.45	Professional		$30.18	$67.73	$118.45
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $31.37 / $59.85	Professional		$29.53	$31.37	$59.85