Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $371.54 / $7,943.28	Facility		$288.40	$371.54	$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 $239.88 / $295.12 / $371.54	Professional		$239.88	$295.12	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $4,677.35	Facility		$144.54	$208.93	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $302.00	Facility		$245.47	$288.40	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $323.59	Facility		$144.54	$223.87	$323.59
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