Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.52 / $7,074.00 / $20,400.00	Facility		$203.52	$7,074.00	$20,400.00
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 $184.13 / $218.89 / $258.74	Professional		$184.13	$218.89	$258.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $194.04 / $256.77	Facility		$141.21	$194.04	$256.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $196.98 / $204.35	Facility		$146.80	$196.98	$204.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $210.96 / $2,748.00	Facility		$141.21	$210.96	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $32.43 / $32.43 / $32.43	Facility	AS	$32.43	$32.43	$32.43
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