Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.60 / $4,684.68 / $8,728.00	Facility		$722.60	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.40 / $706.07 / $838.10	Professional		$596.40	$706.07	$838.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.66 / $618.74 / $820.25	Facility		$421.66	$618.74	$820.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.84 / $635.41 / $661.29	Facility		$473.84	$635.41	$661.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.85 / $653.04 / $1,794.00	Facility		$443.85	$653.04	$1,794.00
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