Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.78 / $3,213.00 / $8,728.00	Facility		$710.78	$3,213.00	$8,728.00
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 $589.97 / $699.47 / $829.06	Professional		$589.97	$699.47	$829.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.10 / $582.79 / $963.42	Facility		$448.10	$582.79	$963.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $629.47 / $672.01	Facility		$468.90	$629.47	$672.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.10 / $611.94 / $857.24	Facility		$448.10	$611.94	$857.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $126.94 / $126.94 / $126.94	Facility	80	$126.94	$126.94	$126.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $107.90 / $107.90 / $107.90	Facility	AS	$107.90	$107.90	$107.90
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