Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $645.65	Facility		$478.63	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $776.25	Professional		$407.38	$562.34	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $489.78 / $2,089.30	Professional		$60.26	$489.78	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,905.46	Professional		$1,445.44	$1,698.24	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $501.19	Facility		$54.95	$97.72	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $478.63 / $794.33	Professional		$147.91	$478.63	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,412.54	Facility		$1,148.15	$1,348.96	$1,412.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,412.54	Professional		$1,148.15	$1,380.38	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $478.63 / $1,737.80	Facility		$74.13	$478.63	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $489.78 / $1,445.44	Professional		$79.43	$489.78	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $537.03	Facility		$53.70	$53.70	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $912.01	Professional		$46.77	$79.43	$912.01