Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.87 / $477.10 / $8,728.00	Facility		$146.87	$477.10	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.70 / $112.70 / $112.70	Facility		$112.70	$112.70	$112.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $182.99 / $462.49	Professional		$134.13	$182.99	$462.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $201.98 / $400.93	Facility		$89.60	$201.98	$400.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $307.29 / $379.89	Facility		$145.53	$307.29	$379.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $202.83 / $468.15	Facility		$94.00	$202.83	$468.15
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