Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $5,116.62 / $15,341.00	Facility		$265.97	$5,116.62	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.63 / $207.63 / $207.63	Facility		$207.63	$207.63	$207.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.22 / $331.82 / $1,338.96	Professional		$243.22	$331.82	$1,338.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.43 / $561.02 / $1,236.75	Facility		$161.43	$561.02	$1,236.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $943.86 / $1,090.76	Facility		$264.27	$943.86	$1,090.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $597.09 / $1,391.22	Facility		$161.97	$597.09	$1,391.22
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