Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $2,747.00 / $7,920.26	Facility		$140.41	$2,747.00	$7,920.26
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 $122.83 / $194.38 / $507.04	Professional		$122.83	$194.38	$507.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $194.38 / $427.64	Facility		$86.09	$194.38	$427.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.29 / $336.44 / $428.13	Facility		$125.29	$336.44	$428.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.09 / $296.62 / $558.62	Facility		$86.09	$296.62	$558.62
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