Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.39 / $4,684.68 / $8,728.00	Facility		$517.39	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.52 / $424.52 / $424.52	Facility		$424.52	$424.52	$424.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.07 / $664.50 / $3,215.38	Professional		$487.07	$664.50	$3,215.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.80 / $1,287.42 / $3,048.10	Facility		$310.80	$1,287.42	$3,048.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.02 / $2,351.44 / $2,580.17	Facility		$484.02	$2,351.44	$2,580.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.38 / $1,347.93 / $3,246.19	Facility		$311.38	$1,347.93	$3,246.19
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