Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.68 / $1,176.00 / $7,920.26	Facility		$356.68	$1,176.00	$7,920.26
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 $296.05 / $350.98 / $416.03	Professional		$296.05	$350.98	$416.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.61 / $309.08 / $404.60	Facility		$225.61	$309.08	$404.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.41 / $315.86 / $333.66	Facility		$237.41	$315.86	$333.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.61 / $315.85 / $426.48	Facility		$225.61	$315.85	$426.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $63.21 / $63.21 / $63.21	Facility	80	$63.21	$63.21	$63.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $53.73 / $53.73 / $53.73	Facility	AS	$53.73	$53.73	$53.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00