Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $8,709.64	Facility		$758.58	$1,621.81	$8,709.64
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 $549.54 / $724.44 / $891.25	Professional		$549.54	$724.44	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $4,677.35	Facility		$371.54	$616.60	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $794.33	Facility		$645.65	$741.31	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $912.01	Facility		$380.19	$602.56	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33