Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $5,116.62 / $15,341.00	Facility		$110.91	$5,116.62	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $88.74 / $88.74	Facility		$88.74	$88.74	$88.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $140.41 / $507.98	Professional		$102.92	$140.41	$507.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $210.96 / $459.21	Facility		$65.93	$210.96	$459.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.17 / $353.09 / $422.29	Facility		$101.17	$353.09	$422.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $221.10 / $526.14	Facility		$65.93	$221.10	$526.14
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