Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $617.37 / $617.37	Facility		$617.37	$617.37	$617.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $479.52 / $617.37	Professional		$479.52	$479.52	$617.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $578.29	Facility		$578.29	$578.29	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $578.29 / $2,079.65	Professional		$59.82	$578.29	$2,079.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.48 / $1,788.97 / $1,979.29	Professional		$1,437.48	$1,788.97	$1,979.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $154.51 / $1,924.77	Facility		$72.69	$154.51	$1,924.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $72.69 / $137.63	Professional		$55.39	$72.69	$137.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.09 / $1,342.70 / $1,408.34	Facility		$1,156.09	$1,342.70	$1,408.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,156.09 / $1,388.62 / $1,408.34	Professional		$1,156.09	$1,388.62	$1,408.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $479.52 / $1,924.77	Facility		$72.69	$479.52	$1,924.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $91.64 / $578.29	Professional		$59.82	$91.64	$578.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $54.22 / $780.18	Professional		$47.09	$54.22	$780.18