Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.63 / $7,920.26 / $20,400.00	Facility		$497.63	$7,920.26	$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 $200.83 / $423.99 / $471.10	Professional		$200.83	$423.99	$471.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.58 / $419.06 / $937.63	Facility		$218.58	$419.06	$937.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.45 / $462.56 / $667.32	Facility		$329.45	$462.56	$667.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.32 / $528.59 / $6,672.00	Facility		$261.32	$528.59	$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