Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.29 / $4,684.68 / $8,728.00	Facility		$680.29	$4,684.68	$8,728.00
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 $565.86 / $670.84 / $795.18	Professional		$565.86	$670.84	$795.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $587.14 / $774.36	Facility		$413.12	$587.14	$774.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.98 / $603.70 / $644.54	Facility		$453.98	$603.70	$644.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $596.71 / $822.06	Facility		$413.12	$596.71	$822.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $103.42 / $103.42 / $103.42	Facility	AS	$103.42	$103.42	$103.42
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