Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $977.24	Facility		$933.25	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $977.24	Professional		$467.74	$741.31	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,754.23	Professional		$2,187.76	$2,511.89	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $2,398.83	Facility		$933.25	$1,905.46	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,905.46	Professional		$616.60	$933.25	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,041.74	Facility		$1,318.26	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $977.24 / $1,737.80	Facility		$891.25	$977.24	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $2,290.87	Professional		$79.43	$912.01	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,290.87	Facility		$954.99	$954.99	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Professional		$891.25	$891.25	$1,071.52