Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.13 / $4,684.68 / $8,728.00	Facility		$270.13	$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 $222.74 / $264.08 / $313.01	Professional		$222.74	$264.08	$313.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $220.10 / $354.34	Facility		$164.81	$220.10	$354.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $233.16 / $247.23	Facility		$162.36	$233.16	$247.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.81 / $225.79 / $317.50	Facility		$164.81	$225.79	$317.50
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