Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.89 / $4,684.68 / $8,728.00	Facility		$325.89	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.43 / $257.43 / $257.43	Facility		$257.43	$257.43	$257.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.61 / $403.30 / $1,296.52	Professional		$295.61	$403.30	$1,296.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $543.52 / $1,230.06	Facility		$199.29	$543.52	$1,230.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.49 / $938.62 / $1,059.27	Facility		$299.49	$938.62	$1,059.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.78 / $580.39 / $1,419.77	Facility		$200.78	$580.39	$1,419.77
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