Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,621.81 / $9,332.54	Facility		$239.88	$1,621.81	$9,332.54
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 $151.36 / $199.53 / $251.19	Professional		$151.36	$199.53	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $977.24	Facility		$107.15	$181.97	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $218.78	Facility		$181.97	$208.93	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $263.03	Facility		$109.65	$177.83	$263.03
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