Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.53 / $4,684.68 / $8,728.00	Facility		$479.53	$4,684.68	$8,728.00
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 $352.70 / $420.19 / $495.63	Professional		$352.70	$420.19	$495.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.30 / $349.68 / $602.65	Facility		$280.30	$349.68	$602.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.66 / $364.43 / $391.95	Facility		$255.66	$364.43	$391.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.30 / $372.24 / $542.32	Facility		$280.30	$372.24	$542.32
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