Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.07 / $6,027.00 / $20,400.00	Facility		$585.07	$6,027.00	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.46 / $574.77 / $682.19	Professional		$485.46	$574.77	$682.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.74 / $507.63 / $663.85	Facility		$372.74	$507.63	$663.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $383.72 / $517.24 / $536.00	Facility		$383.72	$517.24	$536.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.74 / $534.24 / $3,397.00	Facility		$372.74	$534.24	$3,397.00
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