Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $2,550.00 / $2,563.00	Facility		$967.00	$2,550.00	$2,563.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $525.00 / $800.00	Facility		$350.00	$525.00	$800.00
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 $480.00 / $562.65 / $1,275.00	Facility		$480.00	$562.65	$1,275.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.50 / $655.00 / $29,437.50	Facility		$566.50	$655.00	$29,437.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,084.00 / $1,084.00	Facility		$1,084.00	$1,084.00	$1,084.00