Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.72 / $4,684.68 / $8,728.00	Facility		$516.72	$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 $425.78 / $504.93 / $598.33	Professional		$425.78	$504.93	$598.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.99 / $420.36 / $703.03	Facility		$326.99	$420.36	$703.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.11 / $454.41 / $485.75	Facility		$338.11	$454.41	$485.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.99 / $441.44 / $622.98	Facility		$326.99	$441.44	$622.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.41 / $78.41 / $78.41	Facility	AS	$78.41	$78.41	$78.41
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