Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $6,760.83 / $15,848.93	Facility		$371.54	$6,760.83	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $524.81	Professional		$323.59	$426.58	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $537.03	Facility		$208.93	$331.13	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $467.74	Facility		$316.23	$380.19	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $457.09	Facility		$213.80	$316.23	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95