Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,786.30 / $13,803.84	Facility		$288.40	$4,786.30	$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 $208.93 / $316.23 / $363.08	Professional		$208.93	$316.23	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $4,570.88	Facility		$177.83	$239.88	$4,570.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $302.00 / $371.54	Facility		$239.88	$302.00	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $436.52	Facility		$165.96	$223.87	$436.52
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