Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.05 / $4,684.68 / $8,728.00	Facility		$261.05	$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 $212.01 / $253.02 / $297.92	Professional		$212.01	$253.02	$297.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $210.80 / $362.23	Facility		$168.48	$210.80	$362.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.78 / $227.70 / $272.48	Facility		$170.78	$227.70	$272.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $224.40 / $336.98	Facility		$168.48	$224.40	$336.98
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