Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.50 / $1,406.00 / $3,607.00	Facility		$1,184.50	$1,406.00	$3,607.00
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 $78.20 / $357.68 / $959.48	Facility		$78.20	$357.68	$959.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,184.50 / $1,406.00 / $3,607.00	Facility		$1,184.50	$1,406.00	$3,607.00