Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.83 / $4,283.46 / $8,728.00	Facility		$312.83	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.91 / $478.86 / $567.59	Professional		$403.91	$478.86	$567.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $338.86 / $546.97	Facility		$247.90	$338.86	$546.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $406.51 / $459.62	Facility		$275.77	$406.51	$459.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $354.50 / $584.37	Facility		$247.90	$354.50	$584.37
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $286.07 / $286.07 / $286.07	Facility	62	$286.07	$286.07	$286.07
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $73.23 / $73.23 / $73.23	Facility	80	$73.23	$73.23	$73.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $62.25 / $62.25 / $62.25	Facility	AS	$62.25	$62.25	$62.25
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