Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,466.00 / $2,466.00 / $3,296.00	Facility		$2,466.00	$2,466.00	$3,296.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $350.88 / $920.72	Facility		$76.16	$350.88	$920.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,466.00 / $2,466.00 / $3,296.00	Facility		$2,466.00	$2,466.00	$3,296.00