Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.16 / $6,785.00 / $15,978.56	Facility		$370.16	$6,785.00	$15,978.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.32 / $486.52 / $576.60	Professional		$410.32	$486.52	$576.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $365.70 / $465.04	Facility		$247.57	$365.70	$465.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.80 / $377.88 / $467.66	Facility		$271.80	$377.88	$467.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $375.12 / $598.10	Facility		$247.57	$375.12	$598.10
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.45 / $72.45 / $72.45	Facility	80	$72.45	$72.45	$72.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.59 / $61.59 / $61.59	Facility	AS	$61.59	$61.59	$61.59
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