Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.52 / $8,878.56 / $20,400.00	Facility		$704.52	$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 $287.75 / $607.36 / $674.84	Professional		$287.75	$607.36	$674.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $536.36 / $958.92	Facility		$301.51	$536.36	$958.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.00 / $575.96 / $683.40	Facility		$473.00	$575.96	$683.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.95 / $700.44 / $6,672.00	Facility		$356.95	$700.44	$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