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 $270.00 / $350.00 / $600.00	Facility		$270.00	$350.00	$600.00
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 $536.65 / $650.00 / $726.00	Facility		$536.65	$650.00	$726.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $16,378.13 / $32,950.66	Facility		$325.00	$16,378.13	$32,950.66
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