Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $331.13 / $13,182.57	Facility		$275.42	$331.13	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $302.00	Professional		$181.97	$239.88	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $354.81	Facility		$131.83	$213.80	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $275.42	Facility		$218.78	$251.19	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $331.13	Facility		$134.90	$213.80	$331.13
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