Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.93 / $8,878.56 / $20,400.00	Facility		$448.93	$8,878.56	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $362.95 / $403.28	Professional		$194.25	$362.95	$403.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.11 / $374.44 / $863.58	Facility		$187.11	$374.44	$863.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.97 / $444.29 / $614.39	Facility		$282.97	$444.29	$614.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.74 / $513.14 / $6,672.00	Facility		$223.74	$513.14	$6,672.00
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