Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $119.78 / $504.00	Facility		$109.60	$119.78	$504.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $80.00 / $322.00	Facility		$75.00	$80.00	$322.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $184.00 / $315.77	Facility		$22.00	$184.00	$315.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $174.00 / $237.00	Facility		$35.00	$174.00	$237.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $215.00 / $280.00	Facility		$157.00	$215.00	$280.00