Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $11,215.00 / $11,855.00	Facility		$1,330.00	$11,215.00	$11,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,415.00 / $8,481.00	Facility		$350.00	$2,415.00	$8,481.00
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 $2,726.00 / $2,726.00 / $2,726.00	Facility		$2,726.00	$2,726.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,145.00 / $10,145.00 / $10,145.00	Facility		$10,145.00	$10,145.00	$10,145.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,487.00 / $17,903.52 / $35,173.12	Facility		$2,487.00	$17,903.52	$35,173.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $4,035.00 / $8,861.00	Facility		$1,084.00	$4,035.00	$8,861.00