Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.15 / $4,962.67 / $15,341.00	Facility		$220.15	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $217.27 / $257.86	Professional		$183.50	$217.27	$257.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $192.57 / $249.90	Facility		$141.47	$192.57	$249.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $195.54 / $204.00	Facility		$144.87	$195.54	$204.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $202.30 / $2,402.00	Facility		$141.47	$202.30	$2,402.00
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