Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.74 / $2,747.00 / $7,920.26	Facility		$172.74	$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 $154.66 / $317.32 / $832.11	Professional		$154.66	$317.32	$832.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $294.95 / $698.10	Facility		$104.09	$294.95	$698.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $535.33 / $694.12	Facility		$151.41	$535.33	$694.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $431.60 / $913.02	Facility		$104.09	$431.60	$913.02
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