Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.33 / $8,878.56 / $20,400.00	Facility		$426.33	$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 / $262.86 / $292.06	Professional		$194.25	$262.86	$292.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $355.45 / $863.58	Facility		$135.51	$355.45	$863.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.95 / $426.30 / $600.64	Facility		$215.95	$426.30	$600.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.23 / $488.26 / $6,672.00	Facility		$171.23	$488.26	$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