Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.71 / $4,684.68 / $8,728.00	Facility		$707.71	$4,684.68	$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 $589.57 / $698.99 / $828.49	Professional		$589.57	$698.99	$828.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.59 / $582.17 / $962.32	Facility		$447.59	$582.17	$962.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $438.24 / $629.04 / $667.32	Facility		$438.24	$629.04	$667.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.59 / $611.94 / $849.52	Facility		$447.59	$611.94	$849.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $107.24 / $107.24 / $107.24	Facility	AS	$107.24	$107.24	$107.24
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