Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Facility		$1,400.00	$1,400.00	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $1,394.40	Professional		$1,162.00	$1,162.00	$1,394.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.24 / $1,318.24 / $1,318.24	Facility		$1,318.24	$1,318.24	$1,318.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,639.22 / $1,890.75 / $2,040.04	Professional		$1,639.22	$1,890.75	$2,040.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,220.09 / $2,498.30	Facility		$1,120.00	$1,220.09	$2,498.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.15 / $809.63 / $1,458.24	Facility		$769.15	$809.63	$1,458.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,318.24 / $2,498.30	Facility		$1,162.00	$1,318.24	$2,498.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $971.56 / $1,800,000.00	Professional		$659.12	$971.56	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,610.00	Professional		$1,400.00	$1,400.00	$1,610.00