Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,675.00	Facility		$1,675.00	$1,675.00	$1,675.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.25 / $1,390.25 / $1,668.30	Professional		$1,390.25	$1,390.25	$1,668.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,760.20 / $2,760.20 / $2,760.20	Facility		$2,760.20	$2,760.20	$2,760.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,432.30 / $3,958.98 / $4,271.55	Professional		$3,432.30	$3,958.98	$4,271.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,390.25 / $1,695.16 / $2,989.04	Facility		$1,390.25	$1,695.16	$2,989.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,610.40 / $1,695.16 / $3,053.36	Facility		$1,610.40	$1,695.16	$3,053.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.25 / $1,988.06 / $2,989.04	Facility		$1,390.25	$1,988.06	$2,989.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $2,034.19 / $1,800,000.00	Professional		$1,380.10	$2,034.19	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,010.00	Professional		$1,675.00	$1,675.00	$2,010.00