Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.99 / $4,684.68 / $8,728.00	Facility		$183.99	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $178.68 / $211.41	Professional		$150.44	$178.68	$211.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $148.80 / $246.15	Facility		$114.49	$148.80	$246.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $160.79 / $168.84	Facility		$110.17	$160.79	$168.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $156.24 / $215.38	Facility		$114.49	$156.24	$215.38
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