Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $4,684.68 / $8,728.00	Facility		$168.28	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Facility		$128.44	$128.44	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $192.81 / $397.34	Professional		$152.50	$192.81	$397.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $185.44 / $391.12	Facility		$82.84	$185.44	$391.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $308.20 / $328.97	Facility		$150.75	$308.20	$328.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $187.95 / $415.02	Facility		$83.45	$187.95	$415.02
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00