Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,786.30 / $7,943.28	Facility		$436.52	$4,786.30	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $457.09	Professional		$269.15	$354.81	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $5,011.87	Facility		$186.21	$295.12	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $389.05	Facility		$269.15	$380.19	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $512.86	Facility		$194.98	$281.84	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95