Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $7,943.28	Facility		$354.81	$446.68	$7,943.28
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 $251.19 / $338.84 / $416.87	Professional		$251.19	$338.84	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $457.09	Facility		$177.83	$288.40	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $371.54	Facility		$288.40	$346.74	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $426.58	Facility		$181.97	$295.12	$426.58
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