Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.99 / $4,684.68 / $8,728.00	Facility		$318.99	$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 $269.74 / $319.77 / $379.05	Professional		$269.74	$319.77	$379.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $266.60 / $428.95	Facility		$199.51	$266.60	$428.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.45 / $283.41 / $298.82	Facility		$183.45	$283.41	$298.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $273.33 / $374.13	Facility		$199.51	$273.33	$374.13
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