Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $602.56 / $13,803.84	Facility		$323.59	$602.56	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $245.47	Professional		$162.18	$213.80	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $977.24	Facility		$128.82	$331.13	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $588.84	Facility		$204.17	$309.03	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $354.81 / $707.95	Facility		$131.83	$354.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95