Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $4,704.00 / $8,728.00	Facility		$317.77	$4,704.00	$8,728.00
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 $229.87 / $328.90 / $370.30	Professional		$229.87	$328.90	$370.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.15 / $304.33 / $419.57	Facility		$195.15	$304.33	$419.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.05 / $280.02 / $304.85	Facility		$218.05	$280.02	$304.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.15 / $359.74 / $419.57	Facility		$195.15	$359.74	$419.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.92 / $48.92 / $48.92	Facility	AS	$48.92	$48.92	$48.92
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