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 $474.24 / $474.24 / $617.37	Professional		$474.24	$474.24	$617.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $482.82 / $568.02	Professional		$59.58	$482.82	$568.02
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 / $523.79 / $2,372.96	Facility		$72.69	$523.79	$2,372.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $72.69 / $130.13	Professional		$55.39	$72.69	$130.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.09 / $1,309.01 / $1,408.34	Facility		$1,156.09	$1,309.01	$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 / $497.95 / $2,372.96	Facility		$72.69	$497.95	$2,372.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $90.63 / $568.02	Professional		$59.58	$90.63	$568.02
United Facility/Professional Professional Modifier Low / Median / High Price $511.68 / $536.96 / $852.80	Professional		$511.68	$536.96	$852.80