Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $7,943.28	Facility		$1,862.09	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Professional		$1,862.09	$1,862.09	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $660.69	Professional		$275.42	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $5,495.41	Facility		$1,862.09	$1,862.09	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Professional		$1,862.09	$1,862.09	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $5,495.41	Facility		$1,862.09	$1,905.46	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $89.13	Professional		$70.79	$79.43	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84