Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.52 / $8,878.56 / $20,400.00	Facility		$420.52	$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 / $259.38 / $288.20	Professional		$194.25	$259.38	$288.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $344.52 / $807.12	Facility		$133.72	$344.52	$807.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.21 / $415.70 / $574.86	Facility		$202.21	$415.70	$574.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $481.39 / $6,672.00	Facility		$168.97	$481.39	$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