Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.05 / $528.04 / $590.84	Facility		$477.05	$528.04	$590.84
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 $438.77 / $520.19 / $616.59	Professional		$438.77	$520.19	$616.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $455.48 / $684.82	Facility		$318.52	$455.48	$684.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.01 / $468.13 / $507.86	Facility		$359.01	$468.13	$507.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $482.70 / $684.82	Facility		$318.52	$482.70	$684.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00