Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $4,684.68 / $8,728.00	Facility		$222.88	$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 $187.88 / $222.68 / $264.01	Professional		$187.88	$222.68	$264.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $185.38 / $296.25	Facility		$137.79	$185.38	$296.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $194.97 / $207.70	Facility		$136.40	$194.97	$207.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $188.77 / $261.72	Facility		$137.79	$188.77	$261.72
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00