Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $4,684.68 / $8,728.00	Facility		$80.83	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $61.55 / $61.55	Facility		$61.55	$61.55	$61.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $99.79 / $345.15	Professional		$73.15	$99.79	$345.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $140.08 / $294.95	Facility		$49.03	$140.08	$294.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $227.63 / $283.41	Facility		$117.72	$227.63	$283.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $149.16 / $354.93	Facility		$49.44	$149.16	$354.93
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