Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.75 / $633.90 / $710.79	Facility		$572.75	$633.90	$710.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,505.00 / $102,505.00 / $102,505.00	Facility		$102,505.00	$102,505.00	$102,505.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.30 / $657.36 / $740.12	Professional		$461.30	$657.36	$740.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.40 / $598.29 / $827.49	Facility		$382.40	$598.29	$827.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.63 / $561.95 / $611.04	Facility		$434.63	$561.95	$611.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.40 / $717.08 / $827.49	Facility		$382.40	$717.08	$827.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00