Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $1,486.00 / $15,341.00	Facility		$0.92	$1,486.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $4,375.60	Facility		$4,375.60	$4,375.60	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $245.53 / $298.77	Professional		$186.99	$245.53	$298.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.55 / $246.24 / $347.10	Facility		$125.55	$246.24	$347.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $227.77 / $237.32	Facility		$171.99	$227.77	$237.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $272.01 / $347.10	Facility		$133.52	$272.01	$347.10
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00