Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $7,943.28	Facility		$165.96	$208.93	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $199.53	Professional		$131.83	$162.18	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $4,677.35	Facility		$81.28	$120.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $169.82	Facility		$138.04	$162.18	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $181.97	Facility		$81.28	$123.03	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95