Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.15 / $1,606.50 / $8,728.00	Facility		$234.15	$1,606.50	$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 $194.88 / $231.02 / $273.85	Professional		$194.88	$231.02	$273.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $202.72 / $269.73	Facility		$147.97	$202.72	$269.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.40 / $207.90 / $221.10	Facility		$159.40	$207.90	$221.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $208.38 / $282.31	Facility		$147.97	$208.38	$282.31
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