Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $6,606.93	Facility		$323.59	$794.33	$6,606.93
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 $229.09 / $302.00 / $380.19	Professional		$229.09	$302.00	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $575.44	Facility		$162.18	$269.15	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $331.13	Facility		$275.42	$316.23	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $398.11	Facility		$165.96	$263.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68