Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $257.04 / $13,182.57	Facility		$181.97	$257.04	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $239.88	Professional		$141.25	$186.21	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $263.03	Facility		$100.00	$165.96	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $204.17	Facility		$158.49	$194.98	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $245.47	Facility		$100.00	$165.96	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95