Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $4,684.68 / $8,728.00	Facility		$140.30	$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 $114.62 / $136.03 / $161.07	Professional		$114.62	$136.03	$161.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $113.46 / $185.95	Facility		$86.49	$113.46	$185.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $121.94 / $127.97	Facility		$83.84	$121.94	$127.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $118.49 / $164.76	Facility		$86.49	$118.49	$164.76
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