Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $7,551.52 / $18,360.00	Facility		$5,116.62	$7,551.52	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,466.74 / $7,178.33 / $8,738.03	Professional		$5,466.74	$7,178.33	$8,738.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,609.31 / $5,626.41 / $11,183.29	Facility		$3,609.31	$5,626.41	$11,183.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,617.79 / $6,659.48 / $7,041.70	Facility		$4,617.79	$6,659.48	$7,041.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,680.30 / $7,282.14 / $11,183.29	Facility		$3,680.30	$7,282.14	$11,183.29
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $5,249.61 / $5,249.61 / $5,249.61	Facility	62	$5,249.61	$5,249.61	$5,249.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,142.32 / $1,142.32 / $1,142.32	Facility	AS	$1,142.32	$1,142.32	$1,142.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00