Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $7,943.28	Facility		$316.23	$562.34	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $524.81	Professional		$316.23	$416.87	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $4,677.35	Facility		$199.53	$316.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $457.09	Facility		$323.59	$426.58	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $446.68	Facility		$199.53	$281.84	$446.68
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