Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.92 / $7,920.26 / $20,400.00	Facility		$289.92	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $281.02 / $332.40	Professional		$236.54	$281.02	$332.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $261.19 / $341.82	Facility		$190.65	$261.19	$341.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $252.91 / $274.02	Facility		$197.68	$252.91	$274.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $264.27 / $344.96	Facility		$190.65	$264.27	$344.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $43.57 / $43.57 / $43.57	Facility	AS	$43.57	$43.57	$43.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00