Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.55 / $4,759.38 / $13,746.00	Facility		$272.55	$4,759.38	$13,746.00
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 / $389.67 / $432.96	Professional		$194.25	$389.67	$432.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.54 / $267.58 / $419.30	Facility		$184.54	$267.58	$419.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.94 / $285.60 / $368.50	Facility		$204.94	$285.60	$368.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.88 / $397.47 / $6,672.00	Facility		$208.88	$397.47	$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