Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,154.81 / $2,408.16 / $2,710.34	Facility		$2,154.81	$2,408.16	$2,710.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $102,505.00	Facility		$842.00	$842.00	$102,505.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,038.91 / $2,393.67 / $2,865.18	Professional		$2,038.91	$2,393.67	$2,865.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,440.44 / $2,077.46 / $3,056.33	Facility		$1,440.44	$2,077.46	$3,056.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.96 / $2,118.54 / $2,306.14	Facility		$1,380.96	$2,118.54	$2,306.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.44 / $2,110.75 / $3,056.33	Facility		$1,440.44	$2,110.75	$3,056.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00