Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.45 / $2,747.00 / $7,920.26	Facility		$448.45	$2,747.00	$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 $417.92 / $666.25 / $1,743.55	Professional		$417.92	$666.25	$1,743.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $666.25 / $2,343.92	Facility		$283.18	$666.25	$2,343.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.69 / $1,380.02 / $1,821.06	Facility		$406.69	$1,380.02	$1,821.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $1,132.93 / $1,892.97	Facility		$283.18	$1,132.93	$1,892.97
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