Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.77 / $464.55 / $1,372.80	Facility		$265.77	$464.55	$1,372.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.08 / $238.08 / $238.08	Facility		$238.08	$238.08	$238.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $434.39 / $484.69	Professional		$320.45	$434.39	$484.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.81 / $396.75 / $567.30	Facility		$229.81	$396.75	$567.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $402.83 / $414.06	Facility		$298.45	$402.83	$414.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $441.00 / $567.30	Facility		$214.95	$441.00	$567.30