Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.64 / $2,747.00 / $7,920.26	Facility		$513.64	$2,747.00	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.22 / $501.90 / $593.32	Professional		$422.22	$501.90	$593.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $444.84 / $590.75	Facility		$319.56	$444.84	$590.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $340.60 / $451.66 / $471.68	Facility		$340.60	$451.66	$471.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $479.73 / $2,402.00	Facility		$319.56	$479.73	$2,402.00
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