Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,245.00 / $1,500.00	Professional		$1,200.00	$1,245.00	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,550.00 / $2,550.00	Facility		$1,275.00	$2,550.00	$2,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,424.67 / $2,897.90 / $3,256.32	Professional		$2,424.67	$2,897.90	$3,256.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,500.00 / $2,676.75	Facility		$1,245.00	$1,500.00	$2,676.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,764.95 / $2,150.03 / $79,999.20	Facility		$1,764.95	$2,150.03	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,307.25 / $2,209.11	Facility		$1,245.00	$1,307.25	$2,209.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,350.00	Professional		$1,250.00	$1,250.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,437.50	Professional		$1,250.00	$1,250.00	$1,437.50