Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $1,606.50 / $8,728.00	Facility		$368.71	$1,606.50	$8,728.00
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 $290.52 / $381.48 / $462.89	Professional		$290.52	$381.48	$462.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.56 / $354.38 / $516.48	Facility		$205.56	$354.38	$516.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.99 / $353.90 / $374.53	Facility		$265.99	$353.90	$374.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $388.01 / $516.48	Facility		$213.95	$388.01	$516.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.27 / $61.27 / $61.27	Facility	AS	$61.27	$61.27	$61.27
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