Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $3,885.00 / $4,823.00	Facility		$1,330.00	$3,885.00	$4,823.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,746.00 / $2,080.00	Facility		$350.00	$1,746.00	$2,080.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $6,266.44	Facility		$200.00	$322.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $650.00	Facility		$650.00	$650.00	$650.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $3,429.00	Facility		$1,500.00	$1,500.00	$3,429.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,957.00 / $24,290.63 / $35,173.12	Facility		$14,957.00	$24,290.63	$35,173.12
United Facility/Professional Facility Modifier Low / Median / High Price $968.00 / $1,084.00 / $2,150.00	Facility		$968.00	$1,084.00	$2,150.00